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: 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
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 ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis ... #guidelines
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
: -The role of noninvasive ... -The goal of noninvasive ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... #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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... acute respiratory failure ... Chronic respiratory failure ... #criticalcare # ... management
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
emergent additional medication ... to support the medication ... according to the guidelines ... #Assignments #Management ... #CriticalCare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... , Toxins/Medications ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
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
Figure 1. Medical cannabinoid prescribing algorithm 
Simplified guideline for prescribing medical cannabinoids in primary care
Canadian Family
Figure 1. ... Simplified guideline ... 2) 111-120; #Management ... #Prescription #Algorithm ... #Indications