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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Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... #Management #CriticalCare ... #BiPAP #BiLevel ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
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Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... #Noninvasive #Ventilation ... #BiPAP #Algorithm ... #criticalcare #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Positive Pressure Ventilation ... airway / remove mask ... a.k.a BiLevel, BiPAP ... Positive #Pressure #Ventilation ... #diagnosis #management
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Evaluation of Electrical ... ED arrival MSK ... #Electricity #Evaluation ... #Diagnosis #Management ... #Emergency #Algorithm
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
include: β€’ BiPΓ…P ... β€’ If using BiPΓ…P ... using BVM: Hold mask ... cuff prior to ventilation ... Checklist #SARSCoV2 #Management
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 β€’ Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... and difficult mask ... patients #iSTAR #Algorithm ... #obese #Management
Adult Post–Cardiac Arrest Care Algorithm - AHA2020
Initial Stabilization Phase - Resuscitation is ongoing during the post-ROSC
Post–Cardiac Arrest Care Algorithm ... Activities - These evaluations ... intervention: Early evaluation ... lung-protective ventilation ... ROSC #PostArrest #algorithm
BiPAP Initiation Algorithm
Screen for contraindications:
 β€’ Obtundation (unarousable)
 β€’ Inability to wear a mask (wounds)
 β€’
BiPAP Initiation ... Algorithm Screen ... Inability to wear a mask ... amzn.to/3rEtbK8 #BiPAP ... #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
filter β€’ N95 mask ... Invasive Mechanical Ventilation ... lung-protective ventilation ... support #COVID19 #management ... hypoxia #failure #algorithm
Evaluation and Management of Hyperkalemia

As with hypokalemia, the immediate danger of hyperkalemia is its effect on
Evaluation and Management ... efforts should focus ... #Hyperkalemia #Evaluation ... #Algorithm
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