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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Triage Algorithm COVID-19

First draft of a PROPOSED pathway for identify 'happy hypoxic' #COVID19 patients at triage,
Triage Algorithm ... identify 'happy hypoxic ... cliffreid #Triage #Algorithm ... #COVID19 #Hypoxia ... Respiratory #Support #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 ... Management Indication ... #management #schema ... #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 ... oxygenation Permissive hypoxemia ... FOAMpodcast #COVID19 ... #Failure
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
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... in more severe hypoxemia ... respiratory #support #COVID19 ... #management #schema ... #failure #algorithm
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
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
- SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... is suggested (figure ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 β€’ (Re)consult Colorectal Surgery
 β€’ Assess
Ulcerative Colitis - Management ... Algorithm Loss ... Diff. & CMV COVID ... Surgery β‰  Treatment Failure ... #Colitis #UC #Management
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
ECMO Emergency Protocol ... to OXYGENATOR FAILURE ... β€’ PUMP FAILURE ... Exchange Problems: β€’ HYPOXEMIA ... #differential #management
Figure 2
Modified Physiological Triage Tool (MPTT)-24 algorithm with increased respiratory rate upper threshold (β‰₯24), conscious level
Figure 2 Modified ... Tool (MPTT)-24 algorithm ... JamieVassallo #Management ... #Catastrophe #Algorithm ... #Protocol