Dr. Gerald Diaz @GeraldMD
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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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Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Asthma Algorithm - Management ... Diagnostics: Chest ... X-ray. ... #Emergency #Management ... #CriticalCare #
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... evaluation - Chest X-ray ... - Lung ultrasound ... clinically indicated (e.g ... echocardiogram, EKG
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
" on lateral x-ray ... fractures • ED Management ... Carpal #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
d-Transposition of the Great Arteries
 • Anatomy
 • Epidemiology
 • Associated Lesions
 • Pathophysiology/Presentation
 • Classic
Classic Chest Xray ... – “Egg on a String ... Pre-operative management ... pediatrics #cardiology #diagnosis ... #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... Obstructive 4) Diagnosis ... #Hypotension #Management ... #criticalcare #
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... block (+/- daily EKG ... • Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... Cardiac, Neuro 4) Diagnose ... Hypoxemia #Dyspnea #Management ... #criticalcare #
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Berlin criteria ... objective assessment“ (e.g ... Management ● Early ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
RRT leader • Ask ... Assessment: • Ask ... EKG. ... Response #Team #RRT #Management ... #treatment #criticalcare