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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diagnosis workup anesthesia anesthesiology intraoperative clinical pocus tamponade pericardial shock a4c akinesia anaphylaxis anterior arrest cardiogenic chf cooling crisis criticalcare
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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 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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 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 ... definitive management ... Intraoperative #Checklist
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... (no B-lines on ultrasound ... #HeartFailure #Cardiology ... #Management
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 ... Intraoperative #Checklist ... #Diagnosis #Management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Full Set of Vital Signs ... Setup - Ultrasound ... Shock - MI ... Cardiac surgery?
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... further management ... 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 ... Intraoperative #Checklist ... #Diagnosis #Management
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