Dr. Gerald Diaz @GeraldMD
50.0M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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
call it, “Think High ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... #respiratory #support ... #schema #criticalcare ... hypoxia #failure #algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... shock The FALLS-protocol ... an ultrasound evaluation ... #Shock #Algorithm
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... -19 Initial evaluation ... Nasopharyngeal PCR for COVID ... Care @iBookCC #COVID19 ... #algorithm #schema
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... respiratory support ... patients with COVID ... liters/minute High ... hypoxia #failure #algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
UCSF COVID-19 Adult ... Clinical Evaluation ... #Evaluation #Guide ... #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... Glucose • CBC, Chem ... Consider inotropic support ... #Hypothermia #Protocol ... management #treatment #algorithm