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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management diagnosis shock differential checklist comparison devices oxygen algorithm cardiogenic cardiology challenges chf curves fluid guyton heartfailure hemorrhage influenza mask
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Mask Oxygen Delivery ... reservoir increases delivered ... #Oxygen #Delivery ... Devices #management #pulmonary ... #criticalcare
Oxygen Delivery Devices - Comparison Low Flow: • Nasal cannula (1-6L, 24-40% FiO2) • Face mask (5-10L,
Oxygen Delivery ... FiO2) • Face mask ... iMedEducation #Oxygen #Delivery ... Comparison #table #pulmonary ... #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Navigating a Rapid Response Team (RRT) Assert Leadership: • Stand at foot of bed • Introduce yourself
RRT leader • Ask ... • Concise one-liner ... Orders placed, treatments ... RRT #Management #treatment ... #criticalcare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
(CO) & oxygen delivery ... essential to determine treatment ... Cardiac Tamponade, Pulmonary ... neuraxial anesthesia), Liver ... guyton #curves #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Troponin, Lactate, Liver ... in cardiogenic pulmonary ... hypoperfusion, no pulmonary ... (no B-lines on ultrasound ... Revascularization, treatment
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Postpartum Hemorrhage - Differential Diagnosis and Management Uterine Atony (80%) - Most PPH Will respond to
Oxytocin 40 IU in 1 liter ... Does placenta deliver ... unresponsive to usual treatment ... compression (using ultrasound
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Point of Care Ultrasound ... causes increases delivery ... • PULMONARY A ... testing #diagnosis #criticalcare
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
- Ferritin, liver ... function tests - Ultrasound ... suspected Adiunctive treatments ... lab-confirmed influenza, pulmonary ... Checklist #Management #CriticalCare
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