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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Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... in COVID19 The ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
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 #survivingsepsis
Pediatric SVT - Management Algorithm
Identify SVT:
 β€’ HR not variable
 β€’ Abrupt rate changes
 β€’ Infants:
SVT - Management Algorithm ... shock or heart failure ... tachycardia #Management #Algorithm ... #peds #Pediatric ... #treatment
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
as data on new treatment ... US and updated treatment ... clarified the treatment ... 31 β€’ First US case ... #Coronavirus #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... respiratory #support #COVID19 ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Vessels (Heart failure ... hypovolemia), Meds ... /Treatments (Pressors ... Differential #Diagnosis #algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 β€’ (Re)consult Colorectal Surgery
 β€’ Assess
Colitis - Management Algorithm ... Diff. & CMV COVID ... up β€’ Surgery β‰  Treatment ... Failure β€’ If Hesitant ... #IBD #Treatment
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
end-stage heart failure ... sometimes advanced treatment ... flare ups that cause ... Treatments may include ... Stages #ACCAHA #Algorithm
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... epilepticus which may cause ... epilepticus may cause ... Management #Neurology #CriticalCare ... Refractory #Seizures #Algorithm