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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Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... received sufficient treatment ... #Management #Alcohol ... #Protocol #PulmCrit
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
Pediatric SVT - Management ... Algorithm Identify ... AP Stable? ... #Algorithm #peds ... #Pediatric #treatment
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... #Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm ... #PulmCrit
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-BiPAP should never ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm ... #PulmCrit
β–Ί
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
the Ventilator - Algorithm ... CO2 production (fever ... long lasting pain meds ... #Extubation #CriticalCare ... #Management
β€œStep by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... an infant with fever ... #Diagnosis #Management ... #Pediatrics #Peds ... Stratification #Fever
Suspected catheter-related bloodstream infection - Management Algorithm
 β€’ Temperature 37.8 C   β€’ Rigors
Algorithm β€’ Temperature ... β€’ Persistent fever ... β€’ Persistent fever ... after treatment ... #Algorithm #CRBSI
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Algorithm for Convulsive ... ABC's and Don't Ever ... epilepticus: - Propofol ... #Algorithm #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... ABC's and Don't Ever ... β€’ Induction: propofol ... EPILEPTICUS β€’ Propofol
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... c deliriogenic meds ... or persistent fevers ... Delirium #Checklist #Management ... #CriticalCare