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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D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
D-Sign of Acute ... Pulmonary Embolism on POCUS ... D-sign appreciated ... Pulmonary #Embolism #POCUS ... #CriticalCare
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Pulmonary Embolism on POCUS ... bulging septum on PLAX ... D-sign appreciated ... #PLAX #Echocardiogram ... #CriticalCare
Awake Tracheal Intubation (ATI)
 • ATI Technique
 • Ergonomics for ATI
 • Managing Procedural Complications
 •
Complications • Management ... #ATI #airway #management ... #anesthesia #criticalcare ... #algorithm #complications
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... hyperkalemia #kaliuresis #management ... #criticalcare # ... treatment #diuretics ... diuresis #nephrology #algorithm
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
for Crises in Anaesthesia ... Treatment depends ... hyperthermia crisis (late sign ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Priority-based management algorithm for the undifferentiated patient in PEA arrest
PEA (no pulse by manual palp +
Priority-based management ... algorithm for the ... Cardiac POCUS 3 ... A-line placement - POCUS ... #criticalcare
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
thoracotomy is a better treatment ... examination and vital signs ... tamponade recurs. ❿ Plan ... definitive management ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
of more of the signs ... trolley, anaphylaxis treatment ... • Plan for repeat ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... ❹ Call for MH treatment ... see Box D). ⓭ Plan ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Exacerbation Signs ... of baseline Treatments ... #Exacerbation #CriticalCare ... ventilation #mechanical #management ... #treatment