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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D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
Pulmonary Embolism ... on POCUS - Parasternal ... @eabramsMD #DSign ... #AcutePE #Pulmonary ... Echocardiogram #CriticalCare
β–Ί
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... @nickmmark #Pulmonary ... Embolism #Treatment #AcutePE ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... worsening symptoms during ... consistent with pulmonary ... explained by pleural effusions ... Criteria #Diagnosis #CriticalCare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... - Review of medication ... pain-dose ketamine infusion ... limit them as able ... #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... insufficiency, acute ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... exacerbation (often w/ acute ... COPD) β€’ Other acute ... #criticalcare # ... management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Summary #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... insufficiency, acute ... Cold and Dry) β€’ Pulmonary ... Types #diagnosis #management ... warm #wet #dry #table
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... exercise, after acute ... strongly consider using ... #management #treatment ... #comparison #table
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
Pager Summary Indications ... Fluid Overload (pulmonary ... molecules via diffusion ... both convection & diffusion ... #Therapy #RRT #managment