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 tamponade cardiology clinical criticalcare pericardial pocus a4c anaesthetic anaphylaxis challenges comparison crisis cyanosis fluid hyperthermia
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c) Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... on Echocardiogram ... Prats @PratsEM #Malignant ... #clinical #ultrasound ... #s4c #echocardiogram
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 Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c) Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... on Echocardiogram ... Prats @PratsEM #Malignant ... #clinical #ultrasound ... #a4c #echocardiogram
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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 ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... 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 ... Consider IL NS/LR infusion ... Setup - Ultrasound ... Cardiac surgery?
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
• If narrow complex ... hypovolaemia; primary cardiac ... anaphylaxis (→ 3-1); malignant ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
in Anaesthesia Signs ... anaesthetic (remember infusion ... problem. ❸ Call for cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... of more of the signs ... surgery. ❷ Call for cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... rise is a late sign ... dantrolene and cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
15% increase in cardiac ... Point of Care Ultrasound ... precede other signs ... response to the rapid infusion ... comparison #challenges #management
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