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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Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... Hypoxemia #Dyspnea #Management ... #criticalcare #
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... #Hypotension #Management ... #criticalcare #
Accelerated Idioventricular Rhythm (AIVR) on EKG
 β€’ Regular rhythm with wide. 
 β€’ QRS complexes >120
complexes >120 ms ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 β€’ Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... Unstable Bradycardia Management ... epinephrine 4) Page Cardiology ... Differential #Diagnosis #Management ... #cardiology #criticalcare
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
RRT leader β€’ Ask ... Assessment: β€’ Ask ... completed β€’ Ask ... Response #Team #RRT #Management ... #treatment #criticalcare
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
injury (LCL) β€’ ED Management ... β€’ Nonoperative managernent ... Forearm #Ulnar #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Proximal #MSK
The JT Interval and Pro-Arrhythmic Risk
Measured from the J-point to the end of the T-wave, the
with QRS β‰₯120 ms ... JTInterval #QTc #electrocardiogram ... pathophysiology #ekg #ecg #cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture β€’ ED Management ... Mallet #Finger #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... Devices Simple Mask ... aka Hudson's Mask ... Delivery #Devices #management ... #pulmonary #criticalcare