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 ... #COVID19 #management ... criticalcare #hypoxia #failure ... #algorithm
COVID-19 RESPIRATORY PATHWAY ALGORITHM
Awake proning may help with oxygenation
Permissive hypoxemia, if closely monitored and in the
COVID-19 RESPIRATORY ... PATHWAY ALGORITHM ... #RESPIRATORY #Support ... #ALGORITHM #NIV ... SARSCOV2 #Hypoxemia #Failure
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 ... criticalcare #hypoxia #failure ... #algorithm #survivingsepsis
Triage Algorithm COVID-19

First draft of a PROPOSED pathway for identify 'happy hypoxic' #COVID19 patients at triage,
Triage Algorithm ... COVID-19 First ... cliffreid #Triage #Algorithm ... #Respiratory #Support ... #Management #SARSCOV2
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
AIRBORNE ISOLATION/COVID19 ... INTUBATION CHECKLIST ... Take Into Room Support ... #COVID19 #CriticalCare ... #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
for respiratory support ... patients with COVID ... #COVID19 #management ... 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;
; HFpEF, heart failure ... ; HFrEF, heart failure ... mechanical circulatory support ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... Mechanical circulatory support ... cardiogenic shock #Checklist ... HeartFailure #Cardiology #Management
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 β€’ (Re)consult Colorectal Surgery
 β€’ Assess
Ulcerative Colitis - Management ... Algorithm Loss ... Diff. & CMV COVID ... Surgery β‰  Treatment Failure ... #Colitis #UC #Management