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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Possible Ventilator Allocation Protocol

BLUE (Exclusion criterion or SOFA > 11)
 - No Ventilator Provided
 - Use
Allocation Protocol ... or Single organ failure ... #Allocation #Protocol ... #COVID19 #CriticalCare ... #Management #Ethics
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... institutional protocol ... #ECMO #Basics #management ... #pulmonary #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
lung-protective ventilation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... #Management #CriticalCare ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
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Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview A state ... altered mental status ... EmmGeezee #Shock #Classification ... #diagnosis #management ... #Overview #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... acute respiratory failure ... altered mental status ... #indications #criticalcare ... #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview A state ... altered mental status ... EmmGeezee #Shock #Classification ... #diagnosis #management ... #Overview #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... State of cellular ... Stages: 1. ... types #diagnosis #management ... #criticalcare #
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
PROSEVA trial (figure ... Initial management ... stabilization on the ventilator ... #Management #CriticalCare ... ARDS #PseudoARDS #Algorithm
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