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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Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... Also, a low threshold ... #schema #criticalcare ... hypoxia #failure #algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
High or Think Low ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
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
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... respiratory support ... patients with COVID ... #COVID19 #management ... hypoxia #failure #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
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Clinical Evaluation ... usually normal or low ... normal, can be low ... #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Algorithm for Suspected Penicillin Allergy in Patients Undergoing Surgery 

β€’ Cephalosporins may be prescribed to patients
Algorithm for Suspected ... clinical decision support ... algorithm below ... cephalosporin is low ... Allergy #Surgery #Algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... noninvasive respiratory support ... -Serial evaluation ... never be used to β€œblow ... RespiratorySupport #Selection #Algorithm
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