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management criticalcare covid19 failure hypoxia respiratory noninvasive diagnosis pulmonary assessment bilevel bipap coronavirus diabetic diabeticfootinfection diabeticfootulcer emergency footwound graded guidelines
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
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 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
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
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
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
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 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
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