10 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... CriticalCare #BiPAP #BiLevel ... HFNC #HighFlow #NIPPV ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... Extubation to NIPPV ... Spontaneous Time (a.k.a BiLevel ... MD @nickmmark #NIVPPV ... Positive #Pressure #Ventilation
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial of NIPPV ... #respiratory #support ... COVID19 #management #schema ... hypoxia #failure #algorithm
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
air trapping • Bilevel ... support augments ... respiratory cycle • Supports ... oxygenation BIPAP - Bilevel ... • Supports oxygenation
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... respiratory support ... #respiratory #support ... COVID19 #management #schema ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... the mechanical ventilation ... #respiratory #support ... COVID19 #management #schema
Graded Oxygen Administration in COVID-19

#respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
#respiratory #support ... COVID19 #management #schema ... hypoxia #failure #algorithm
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
- Myocardial ischemia ... type-II myocardial ischemia ... ultrasonography might support ... Emergency #Diagnosis #Algorithm
Approach to treating a diabetic patient with a foot infection.

Consider hospitalization if any of the following
presence of critical ischemia ... inadequate home support ... diabeticfootulcer #footwound #algorithm
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Glucose • CBC, Chem ... Consider inotropic support ... Consider inotropic support ... mechanical circulatory support ... management #treatment #algorithm