Dr. Gerald Diaz @GeraldMD
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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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Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... #criticalcare # ... pulmonary #Hypoxia
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... β€’ Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
RRT leader β€’ Ask ... β€’ Concise one-liner ... Orders placed, treatments ... Response #Team #RRT #Management ... #treatment #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... #Embolism #Treatment ... #AcutePE #Management ... #CriticalCare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
of baseline Treatments ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management ... #treatment
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... Workup β€’ General Management ... β€’ Airway Management ... #treatment #workup ... #pulmonary #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Troponin, Lactate, Liver ... (no B-lines on ultrasound ... Revascularization, treatment ... HeartFailure #Cardiology #Management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... Tamponade - Pulmonary ... #Summary #criticalcare ... #treatment #workup
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... Triglyceride level - Liver ... #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 ... Delivery #Devices #management ... #pulmonary #criticalcare