Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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 ... #Pulmonary #Embolism ... #POCUS #PSAX #Echocardiogram ... #CriticalCare
β–Ί
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Dilatation in Pulmonary ... Parasternal Long Axis Acute ... #Pulmonary #Embolism ... #POCUS #PLAX #Echocardiogram ... #CriticalCare
β–Ί
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
β€’ Cardiogenic: Acute ... MI, Acute Heart ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Pressors and Inotropes

Norepinephrine
 β€’ alpha1 > beta 1
 β€’ Increase SVR > Inotropy
Vasopressin
 β€’ V1
 β€’
Pressors #Inotropes #criticalcare ... #pharmacology # ... comparison #shock ... #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Cheat Sheet An acute ... leading to increased pulmonary ... consistent with pulmonary ... #CriticalCare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... @nickmmark #Pulmonary ... Embolism #Treatment #AcutePE ... #Management #CriticalCare
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Blood Pressure, Pulmonary ... Properties #Table #Pharmacology ... #Effect #Management ... #Comparison #Inotropes
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #table #pharmacology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... failure from massive pulmonary ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #