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
COVID-19 Hypoxia ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
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 ... -19 Specific Medications ... #ICU #criticalcare ... #Guidelines #NonIntensivist ... #diagnosis #management
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 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
: -The role of noninvasive ... respiratory support ... respiratory support ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
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
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... observation) #NIV #Noninvasive ... Ventilation #BiPAP #Algorithm ... #criticalcare # ... management #indications
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
equipment or to support ... the medication ... according to the guidelines ... #Assignments #Management ... #CriticalCare #
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... anticoagulation #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
anticoagulation in COVID ... anticoagulation #COVID19 ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity
Problem - Immune checkpoint inhibitors (ICIs) are associated with
Management of Immune ... βœ– Current guideline ... conditions including ischemia ... requiring intravenous medications ... including hemodynamic support