Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Low #Abdomen #
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... an ultrasound evaluation ... #Shock #Algorithm
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... patients who β€œfail” low ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... 1.5 High CO / Low ... Spinal Cord Injury Low ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
initial treatment algorithms ... Sudden onset β€’ Abd ... to nonocclusive low ... flow states β€’ ... onset β€’ Moderate abd
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... with COVID-19 Low ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... normal, can be low ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... never be used to β€œblow ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
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
Anticoagulation - R-time low ... Fibrinogen level low ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2