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Mass General Hospital COVID19 Critical Care Treatment Guide

#COVID19 #CriticalCare #Treatment #MGH #Management #Coronavirus #SARSCOV2
Mass General Hospital ... COVID19 Critical ... Guide #COVID19 #CriticalCare ... Treatment #MGH #Management ... #Coronavirus #SARSCOV2
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
: Clinical Cheat ... if there is no clear ... agents, and source control ... with early enteral ... #CriticalCare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
likelihood and clinical ... after induction of general ... anesthesia • ... Anesthesiology #Anesthesia ... #CriticalCare #
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
- Myocardial ischemia ... incongruous with clinical ... DKA (either via central ... #Hypokalemia #Management ... #CriticalCare
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
High Central Neuraxial ... paralysis of the arms ... hypnosis as soon as clinical ... #High #Central ... Checklist #Diagnosis #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... Internet Book of Critical ... support #COVID19 #management ... #schema #criticalcare
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
This is one general ... Internet Book of Critical ... anticoagulation #COVID19 #management ... #schema #criticalcare ... #algorithm #SARSCOV2
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... Medications: K+, ACEi/ARBs ... /crush injury, ischemia ... test (only if no clear ... Ca-gluconate or 1g CaCl- (central
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Aspiration - unable to clear ... secretions, altered mental ... hair) • Risk Of Clinical ... #indications #criticalcare ... #management
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
Internet Book of Critical ... anticoagulation #COVID19 #management ... #schema #criticalcare ... #algorithm #SARSCOV2