Dr. Gerald Diaz @GeraldMD
49.8M 14.4K 7.6K
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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Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Morphine - Slower on ... Non-Benzos): β€’ Propofol ... sedative: fast on ... Propofol infusion ... CriticalCare #diagnosis #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... esp in work-up/management ... summary, and ED triage ... spend too much on ... #Pearls #Checklist
Protocol for Donning PPE

Put on special work clothes and work shoes β€’ Wash hands~ Put on
Protocol for Donning ... PPE Put on special ... Wash hands~ Put on ... #Checklist #Management ... #COVID19 #SARSCoV2
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
pts but only 50% on ... % if severe or ICU ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
COPD Management Algorithm - GOLD 2019 guidelines 

Categorize into COPD GOLD A-D -> Initiate first-line therapy
COPD Management ... Algorithm - GOLD ... single to dual to triple ... consider initiating triple ... #Pulmonary #Algorithm
Protocol for Doffing PPE

Wash hands and remove visible bodily fluids/blood contaminants on the outer surfaces at
Protocol for Doffing ... blood contaminants on ... Doffing #Removal #Checklist ... #Management #COVID19 ... #SARSCoV2 #PersonalProtectiveEquipment
SEQUENCE FOR PUTTING ON PERSONAL PROTECTIVE EQUIPMENT (PPE)

1. GOWN
β€’	 Fully cover torso from neck to knees,
SEQUENCE FOR PUTTING ON ... flexible band to nose bridge ... #PPE #Donning #Checklist ... #Management #COVID19 ... #SARSCoV2 #PersonalProtectiveEquipment
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
sepsis pathway or protocol ... nurses well, pay ICU ... in a clinical trial ... Don't: - Fixate on ... Interventions #Management