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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Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... MyocardialInfarction #AMI ... #POCUS #Echocardiogram ... #ultrasound #Cardiology
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Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... Stop or rapidly complete ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... examination and vital signs ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... β€’ Unexpected cardiac ... of more of the signs ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
in Anaesthesia Signs ... anaesthetic (remember infusion ... problem. ❸ Call for cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... β€’ If narrow complex ... rate, rhythm, perfusion ... hypovolaemia; primary cardiac ... #Checklist #Diagnosis
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Consider IL NS/LR infusion ... Setup - Ultrasound ... Shock - MI ... Cardiac surgery?
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... see Box A). ❸ Aim ... dantrolene and cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
Here is the cardiac ... ultrasound. ... as McConnell's sign ... right ventricular MI ... Clinical #POCUS #Echocardiogram
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