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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intraoperative management anesthesia anesthesiology diagnosis workup cardiac pea activity anaesthetic anaphylaxis cardiothoracic clinical criticalcare echocardiogram electrical freewall hemorrhagic local pericardial
Priority-based management algorithm for the undifferentiated patient in PEA arrest PEA (no pulse by manual palp +
patient in PEA arrest ... Cardiac POCUS 3 ... A-line placement - POCUS ... Start vasopressor infusion ... Coutin #PEA #arrest
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
anaesthetic (remember infusion ... Call for cardiac arrest ... If circulatory arrest ... continuous CPR using ... Intraoperative #Checklist
PEA Arrest on POCUS with Hemorrhagic Pericardial Effusion Older patient found-aphasia, left sided weakness. Last known well
PEA Arrest on POCUS ... Hemorrhagic Pericardial Effusion ... POCUS done. ... Quick look during ... #Pericardial #Effusion
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... Call for cardiac arrest ... left shoulder but using ... needle toward the largest ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Unexpected cardiac arrest ... Call for cardiac arrest ... mmHg or cardiac arrest ... as patient is stable ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
pulse or impending arrest ... reservoir bag moving ... airway pressure using ... rate, rhythm, perfusion ... Intraoperative #Checklist
Intraoperative Cardiac Free Wall Rupture Free wall rupture...yes we can save them Following a syncope event, a 72-y
brought to the ER, stable ... revealed pericardial effusion ... while pericardial effusion ... the heart was arrested ... healthy tissue, going
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