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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COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
#respiratory #support ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis ... #guidelines
SICU/CTICU Transfusion Guidelines

#Transfusion #Thresholds #Guidelines #Algorithm #Management #PRBC #SICU #CriticalCare
CTICU Transfusion Guidelines ... Transfusion #Thresholds #Guidelines ... #Algorithm #Management ... #PRBC #SICU #CriticalCare
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
ACLF) Clinical Guidelines ... disease, liver support ... Lung Failure ... Hepatitis Procedures Management ... gastroenterology #management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiopulmonary support ... cardiovascular failure ... cardiopulmonary failure ... #ECMO #Basics #management ... #pulmonary #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Algorithm in COVID19 ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #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 ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
fraction; GDMT, guideline-directed ... ; HFpEF, heart failure ... mechanical circulatory support ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Tailoring Vasopressors to a Patient's Physiology

Overall, norepinephrine, epinephrine, and vasopressin are all supported by evidence as
vasopressin are all supported ... physiology #Management ... #CriticalCare # ... Vasopressor #Selection #Algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
for respiratory support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... goal-directed stepwise management ... of hemodynamic support ... #Shock #Algorithm ... #CriticalCare #