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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covid19 hypoxia respiratory support ards basics bilevel bipap ecmo ethics extracorporeal guidelines hfnc highflow hypothermia membrane nippv noninvasive oxygenation proseva
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 ‘intubate early’ paradigm, where patients who “fail” 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 • Typically set at
General schema for ... 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
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
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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 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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 Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Hypothermia - Protocol ... monitoring • Ventilate ... Glucose • CBC, Chem ... #management #treatment ... #algorithm
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