Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis hypoxia respiratory schema support shock admissions admitting coronavirus curves ecmo endocarditis guidelines guyton icu intubation pearls problems sarscov2 survivingsepsis
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 ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver Failure ... , Toxins/Medications ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... spleen, brain) Indications ... causing heart failure ... #criticalcare # ... diagnosis #management
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... Medications & pre-planned ... #SARSCoV2 #Management ... #CriticalCare #
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Shock - OnePager Summary ... (PE, PHTN), LV Failure ... thyrotoxicosis), Medications ... Shock #diagnosis #differential ... guyton #curves #criticalcare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... pre-existing heart failure ... esp in work-up/management ... note, discharge summary ... diagnosis #workup #criticalcare
ECMO Troubleshooting - OnePager Summary ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
Troubleshooting - OnePager Summary ... to OXYGENATOR FAILURE ... • PUMP FAILURE ... problems #diagnosis #differential ... #management #criticalcare
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