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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Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
Protocol Acute ... ARDSNet) NIH NHLBI ARDS ... Clinical Network #Management ... #CriticalCare # ... #Protocol #ARDS
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
failure • Adjust ventilator ... SETTINGS • If ventilated ... institutional protocol ... #ECMO #Basics #management ... #pulmonary #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... and mechanically ventilated ... #COVID19 #management ... #schema #criticalcare
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... patients #iSTAR #Algorithm ... #obese #Management ... #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
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 ... #respiratory #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
Selecting Respiratory Support ... noninvasive respiratory support ... #Management #CriticalCare ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
Approach to ARDS ... Initial management ... stabilization on the ventilator ... #Management #CriticalCare ... #Algorithm #PROSEVA
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... monitoring • Ventilate ... Glucose • CBC, Chem ... #management #treatment ... #algorithm