Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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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 ... was consequently ... received sufficient treatment ... #Management #Alcohol
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... status epilepticus was ... #Management #Neurology ... #CriticalCare # ... #Algorithm #PulmCrit
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
• Withdrawal Seizures ... usually generalized seizures ... Barbituates • Propofol ... #diagnosis #treatment ... #management #etoh
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Hypothermia & Shivering, Seizures ... Drugs/Toxins: - Propofol ... & Other toxic alcohols ... Mellitus +/- DKA, Alcoholic ... #criticalcare #
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... components of the algorithm ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Delivery • Stable ... defibrillator as ... teratogenic GDMT meds ... #treatment
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
empiric antibiotic treatment ... respectively, were as ... 92.0% and 46.9% #Diagnosis ... #EBM #Management ... #Pediatrics #Peds