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
Proposed Respiratory Support ... Algorithm in COVID19 ... #COVID19 #management ... criticalcare #hypoxia #failure ... #algorithm
COVID-19 RESPIRATORY PATHWAY ALGORITHM
Awake proning may help with oxygenation
Permissive hypoxemia, if closely monitored and in the
COVID-19 RESPIRATORY ... PATHWAY ALGORITHM ... #RESPIRATORY #Support ... #ALGORITHM #NIV ... SARSCOV2 #Hypoxemia #Failure
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 ... criticalcare #hypoxia #failure ... #algorithm #survivingsepsis
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... needed for plugging ANTICOAGULATION ... institutional protocol ... #ECMO #Basics #management
Triage Algorithm COVID-19

First draft of a PROPOSED pathway for identify 'happy hypoxic' #COVID19 patients at triage,
Triage Algorithm ... COVID-19 First ... cliffreid #Triage #Algorithm ... #Respiratory #Support ... #Management #SARSCOV2
Possible Ventilator Allocation Protocol

BLUE (Exclusion criterion or SOFA > 11)
 - No Ventilator Provided
 - Use
Ventilator Allocation Protocol ... or Single organ failure ... significant organ failure ... #COVID19 #CriticalCare ... #Management #Ethics
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
for respiratory support ... patients with COVID ... #COVID19 #management ... criticalcare #hypoxia #failure ... #algorithm
Mount Sinai COVID-19 Anticoagulation Algorithm

Inclusion: All admitted patients with COVID-19
Exclusion: High risk of bleeding as judged
-19 Anticoagulation ... Algorithm Inclusion ... recent bleeding #Anticoagulation ... #Algorithm #COVID19 ... #SARSCOV2 #Management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... noninvasive respiratory support ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
; HFpEF, heart failure ... ; HFrEF, heart failure ... mechanical circulatory support ... Stages #ACCAHA #Algorithm ... #Management #Cardiology