Dr. Gerald Diaz @GeraldMD
32.7M 13.9K 7.4K
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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Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... management - RUQ ultrasound ... Triglyceride level - Liver ... #Pancreatitis #Checklist ... Diagnosis #Management #CriticalCare
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Management 1) Ask ... ) Examination: Pulmonary ... Dyspnea #Management #criticalcare ... #pulmonary #Hypoxia
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Troponin, Lactate, Liver ... in cardiogenic pulmonary ... (no B-lines on ultrasound ... cardiogenic shock #Checklist
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... #Endocarditis #checklist ... #criticalcare #
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Insufficiency, Liver ... , CVP > 12 β€’ Pulmonary ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... β€’ Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
RRT leader β€’ Ask ... Assessment: β€’ Ask ... β€’ Concise one-liner ... completed β€’ Ask ... Management #treatment #criticalcare
Cannot Intubate, Cannot Oxygenate (CICO) Checklist Mnemonic 

C - Call it and communicate it: 
- Communicate
Oxygenate (CICO) Checklist ... Ask help received ... attempts at face mask ... Law #CICO #Checklist ... Mnemonic #Management #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
-19 Intubation Checklist ... using BVM: Hold mask ... COVID19 #Intubation #Checklist ... SARSCoV2 #Management #CriticalCare
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... Devices Simple Mask ... aka Hudson's Mask ... Devices #management #pulmonary ... #criticalcare