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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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
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” 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
 β€’ Typically set at
General schema for ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
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
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... pre-existing heart failure ... esp in work-up/management ... summary, and ED triage ... diagnosis #workup #criticalcare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... - Myocardial ischemia ... - Severe renal failure ... #Hypokalemia #Management ... #CriticalCare
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
Figure 2
Modified Physiological Triage Tool (MPTT)-24 algorithm with increased respiratory rate upper threshold (β‰₯24), conscious level
Figure 2 Modified ... Physiological Triage ... Tool (MPTT)-24 algorithm ... JamieVassallo #Management ... #Protocol
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Non-Benzos): β€’ Propofol ... Propofol infusion ... bradycardia. renal/liver failure ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Approach to ARDS - PseudoARDS

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