Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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management anesthesia intraoperative workup cardiology clinical echocardiogram anaphylaxis block cabcde cardiac central constrictive crisis high hyperthermia malignant neuraxial pediatrics pericardial
Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c) RA collapse= earliest sign. RV collapse =
Pericardial effusion ... with signs of tamponade ... = earliest sign. ... sensitive sonographic sign ... #tamponade #POCUS
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... examination and vital signs ... recurs. ❿ Plan ... #Anesthesiology ... Intraoperative #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Plan to ensure ... that may mimic signs ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Plan for repeat ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
c-spine not cleared; plan ... Binder) • Use POCUS ... or pericardial tamponade ... ↓ BP is a late sign ... Analgesia/sedation plan
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... see Box D). ⓭ Plan ... Hyperthermia #Crisis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
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