Dr. Gerald Diaz @GeraldMD
48.7M 14.2K 7.5K
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: ICU Guidelines for the Non-Intensivist
Infection Control
Risk Factors for Severe Disease
Initial Laboratory Workup
COVID-19 Specific Medications
Respiratory
Cardiac
Hematologic
Neuro/Sedation

#COVID19 #ICU
COVID-19: ICU Guidelines ... Laboratory Workup COVID ... -19 Specific Medications ... #ICU #criticalcare ... NonIntensivist #diagnosis #management
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
- Indications and ... Contraindications Indications ... burns, Fixed upper airway ... #criticalcare # ... management #indications
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 ... Management Indication ... Consider Indication ... #criticalcare # ... hypoxia #failure #algorithm
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Pressure Ventilation Indications ... ), Cardiogenic pulmonary ... Inability to protect airway ... Ventilation #diagnosis #management ... #indications #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality, LOS NIPPV Indications ... exacerbation (cardiogenic pulmonary ... NIPPV #CPAP #BPAP #indications ... #criticalcare # ... management
COVID-19 AIRWAY MANAGEMENT ALGORITHM
1. PREPARATION
2. PRE-CHECK & PRE-BRIEF
3. PROCEDURE
4. POST CHECKS
5. DEBRIEF

Michigan Medicine @umichmedicine

#COVID19 #AIRWAY #Intubation
COVID-19 AIRWAY ... MANAGEMENT ALGORITHM ... #AIRWAY #Intubation ... #MANAGEMENT #ALGORITHM ... #Coronavirus #CriticalCare
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
Management of interstitial ... Therapeutic indication ... systemicsclerosis #SSc #pulmonary ... #indications #management ... #treatment #algorithm
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... Massive PE (definite indication ... Treatment #AcutePE #Management ... #CriticalCare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Framework and Management ... Primary Vascular: Pulmonary ... Coagulopathy Initial Management ... : 1) Indications ... #pulmonary #criticalcare
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Awake o Pre-Medication ... De-nitrogenation o Push medications ... POST INTUBATION MANAGEMENT ... intubation #checklist #criticalcare ... #airway #management