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 ... Management Indication ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
acute respiratory failure ... Chronic respiratory failure ... indication for intubation ... #criticalcare # ... management
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... : 1) Indications ... for Intubation ... #pulmonary #criticalcare
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... to support the medication ... #Intubation #Teams ... #Assignments #Management ... #CriticalCare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... , Toxins/Medications ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... #Intubation #Checklist ... #SARSCoV2 #Management ... #CriticalCare #
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID-19 - A Seattle ... worldwide numbers) β€’ Incubation ... Cheatsheet #Diagnosis #Management ... #Summary #SARSCoV2 ... #Coronavirus #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm