Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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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
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... #Management #Alcohol ... #Monotherapy #Algorithm ... #Protocol #PulmCrit
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm ... #PulmCrit
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
Algorithm for the drowned airway - Josh Farkas @PulmCrit

#Management #CriticalCare #Drowned #Airway #Algorithm #Cricothyrotomy #Pulmcrit
Algorithm for the ... - Josh Farkas @PulmCrit ... #Management # ... CriticalCare #Drowned ... #Airway #Algorithm
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
#Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm ... #PulmCrit
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
causing heart failure ... • Aggressive management ... Josh Farkas @PulmCrit ... Endocarditis #checklist #criticalcare ... #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 Management ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management