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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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... Diagnosis #FALLS #Protocol ... #Shock #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
ProCESS Investigator - A Randomized Trial of Protocol-Based Care for Early Septic Shock

N Engl J Med
for Early Septic Shock ... in whom septic shock ... #ProCESS #Protocol ... VisualAbstract #Threshold #EBM ... #Management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Algorithm for patients ... evaluation or management ... #Algorithm #Cardiology ... #EBM #Trial
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:
Guideline for the Management ... summarised in Tables ... 5.2 and 5.4 #EBM ... Pharmacotherapy #Effectiveness ... #Table
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
Pediatric SVT - Management ... Algorithm Identify ... Monitors, Pads AP Stable ... Signs of shock or ... #Algorithm #peds
If the choice is available, biphasic waveform devices have greater efficacy than monophasic.In terms of the
al provides a protocol ... for escalating shock ... #Management #EBM ... #EM #IM #Cardiology
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Binder) β€’ Use POCUS ... - Hemorrhagic shock ... a late sign of shock ... massive transfusion protocol ... Survey #CABCDE #management
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
sepsis pathway or protocol ... persistent septic shock ... Interventions #Management ... Factors #Matter #EBM ... #Effectiveness