Dr. Gerald Diaz @GeraldMD
50.3M 14.4K 7.6K
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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Possible Ventilator Allocation Protocol

BLUE (Exclusion criterion or SOFA > 11)
 - No Ventilator Provided
 - Use
Possible Ventilator Allocation ... Protocol BLUE ... or Single organ failure ... #CriticalCare # ... Management #Ethics
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 β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... - Management of ... rhythm or cardiac ischemia ... #CriticalCare # ... #Exacerbation #Algorithm
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
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Overall schema for resuscitation of the bradycardic periarresting patient
A patient with bradycardic periarrest may be rescued
Overall schema for ... of treatments (figure ... #Management #Bradycardia ... Bradycardic #PeriArrest #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Hypoxemia, Regional Ischemia ... Drugs/Toxins: - Propofol ... Systemic liver Failure ... , Renal failure, ... Differential #Diagnosis #criticalcare
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
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