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 ... practitioners is ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm ... #PulmCrit
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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 ... that intubation is ... COVID19 #management #schema ... #criticalcare #
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
tolerating HFNC or HFNC is ... Guidelines #respiratory ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... respiratory support ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
permanent brain damage is ... #Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm ... #PulmCrit
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenia Gravis Evaluation ... thyroid disease Respiratory ... mild-moderate respiratory ... ://twitter.com/PulmCrit ... Checklist #Management #CriticalCare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
- Myocardial ischemia ... pomagnesemia Evaluation ... Repletion Of Mg is ... Josh Farkas @pulmcrit ... Hypokalemia #Management #CriticalCare
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
This is one general ... Josh Farkas @pulmcirt ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
in COVID-19 Is ... Josh Farkas @pulmcirt ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2