Dr. Gerald Diaz @GeraldMD
51.4M 14.5K 7.6K
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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Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
or iatrogenic causes ... help and inform clinical ... left shoulder but using ... a dramatic clinical ... Intraoperative #Checklist
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
39 C this is a clinical ... maintained fever CAUSES ... (β†’ 3-14) e.g. during ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... β€’ Consider moving ... until patient is stable ... Guidelines for crises ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... as patient is stable ... an appropriate critical ... Intraoperative #Checklist
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
- SEE UPDATED ALGORITHM ... into meaningful clinical ... fails to achieve clinical ... Alternative causes ... center that is using
β–Ί
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Clinical β€’ Under-recognized ... Management during ... Delivery β€’ Stable ... support for patients clinically
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... relapsing fever caused ... TBRF is caused by ... The table below ... microscopy #pathology #clinical
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
Guidelines for Crises ... inform immediate clinical ... continuous CPR using ... Guidelines for crises ... Intraoperative #Checklist
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... prioritized as the critical ... witnessed many cases ... BigTrauma #BeforeCT #Checklist
IDSA Algorithm for the Management of Purulent skin and soft tissue infections (SSTIs). 
Mild infection: for
IDSA Algorithm for ... erysipelas with no focus ... or those with clinical ... including those caused ... #SSTIs #Algorithm