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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Primary mass casualty incident triage:
The Amberg-Schwandorf Algorithm for Primary Triage (ASAV) [4]. I = red category, II = yellow category,
Amberg-Schwandorf Algorithm ... for Primary Triage ... green category #Management ... #Incident #Algorithm ... #ASAV #Amberg #Protocol
The SALT Mass Casualty Triage Approach
 - SALT stands for “Sort, Assess, Lifesaving interventions, and Treatment
Mass Casualty Triage ... #Management #Disaster ... #SALT #Triage # ... MassCasualty #Incident #Algorithm ... #Protocol
START is a rapid triage system for prioritizing disaster victims
Briefly, it is based around:
- Is the
START is a rapid triage ... walking wounded’ -> triage ... retriaging, and their triage ... #Diagnosis #Management ... #Algorithm #Protocol
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
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 ... CONSIDER: a trial ... #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Spontaneous Breathing Trial (SBT) Failure - Optimization and Exercise Algorithm

Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8

#SBT #Spontaneous #BreathingTrial
Spontaneous Breathing Trial ... (SBT) Failure - ... Optimization and Exercise Algorithm ... BreathingTrial #Failure ... #management #criticalcare
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
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
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
Mass Casualty Incident Triage Algorithm

Black Tag - No further treatment
Red Tag - Treat these patients first
Yellow
Casualty Incident Triage ... Algorithm Black ... are treated #Management ... #MassCasualty #Triage ... #Algorithm #Protocol