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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Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Approach to Selecting ... Respiratory Support ... #Management #CriticalCare ... RespiratorySupport #Selection ... #Algorithm #PulmCrit
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 ... #respiratory #support ... #schema #criticalcare ... hypoxia #failure #algorithm
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiopulmonary support ... injury • ECMO is a bridge ... institutional protocol ... #ECMO #Basics #management ... #pulmonary #criticalcare
Tailoring Vasopressors to a Patient's Physiology

Overall, norepinephrine, epinephrine, and vasopressin are all supported by evidence as
vasopressin are all supported ... physiology #Management ... #CriticalCare # ... Vasopressor #Selection ... #Algorithm #FirstLine
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... respiratory support ... #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... Glucose • CBC, Chem ... #Hypothermia #Protocol ... #management #treatment ... #algorithm