In the US when a commercial bank issues a loan, e.g. a mortgage, the Fed creates money and puts it in the bank, so the bank can lend it to the borrower.
Now, how does it work in other countries that use the USD? Does the Fed put dollars in a bank in El Salvador when someone takes out a USD mortgage there? Or does the Salvadoran banking system use 'monopoly dollars', i.e. database entries that are not (or not completely) redeemable for 'real' USD?