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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Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
PainSyndromes #Indications ... #Pathways #Table ... #MSK #Migraine
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
rises from the table ... rise from the table ... cruciate #ligament #clinical ... physicalexam #sports #msk
β–Ί
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Inotropes #management #criticalcare ... summary #comparison #table ... #pharmacology #indications
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
on scores and clinical ... Hemodynamics (Stable ... stratification #criticalcare
Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
rises off the table ... #PhysicalExam #clinical ... video #sports #msk
β–Ί
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
Managing BPD Clinical ... UK national BPD clinical ... summarised in Tables ... Personality #Disorder #Medications ... Effectiveness #Table
Oxygen Delivery Devices - Comparison
Low Flow:
 β€’ Nasal cannula (1-6L, 24-40% FiO2)
 β€’ Face mask (5-10L,
FiO2) β€’ Face mask ... Face tent/shovel mask ... FiO2) β€’ Venturi mask ... Devices #Comparison #table ... #pulmonary #criticalcare
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
highlighted circle= clinical ... smfarmhosp_smfh #Drugs #Medications ... #Pharmacology #Table
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... limit them as able ... Diagnosis #Management #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
Medications & pre-planned ... using BVM: Hold mask ... Internet Book of Critical ... SARSCoV2 #Management #CriticalCare