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 intraoperative criticalcare differential intubation airway cardiac procedure admissions admitting anaphylaxis arrest bloodloss bradycardia cardiacarrest cardiogenic causes chestpain chf
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesia #Checklist ... #Diagnosis #Management
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
Mains Electricity Failure ... #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... causing heart failure ... block (+/- daily EKG ... of infection (e.g
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Checklist Evaluation ... - EKG & echocardiography ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... over 2 h (>65 kg ... Embolism #VTE #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Medical Management of Acute RV Failure • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of Acute RV Failure ... [e.g. ... rightventricular #cardiology ... #management #treatment
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... block • Heart failure ... cardiac death Management ... Supportive • Heart failure ... #Cardiology
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... - Severe renal failure ... #Hypokalemia #Management
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