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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anesthesiology diagnosis intraoperative management workup clinical pocus tamponade pericardial a4c akinesia anaphylaxis anterior arrest cooling crisis fibrillation hyperthermia hypokinesis ischaemia
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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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... Intraoperative #Checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... Stop or rapidly complete ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... of more of the signs ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... on POCUS Echocardiogram ... - PLAX Pt sent ... #Cardiac #Tamponade ... #cardiology
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 Anterior Akinesia on POCUS Echocardiogram Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Akinesia on POCUS Echocardiogram ... Wide complex ... Consistent with AWMI ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
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 Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
poor vital organ perfusion ... and discuss with cardiology ... develop (Box B). ❾ Plan ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... dantrolene and cardiac ... see Box D). ⓭ Plan ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis 50's male witnessed arrest. Unknown hx. AED no
Fibrillation on POCUS Echocardiogram ... Wide complex rhythm ... Consistent with AWMI ... Fibrillation #VFib #PSAX ... #ultrasound #Cardiology
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