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 ... Monitor closely short ... Society of Critical ... #schema #criticalcare ... hypoxia #failure #algorithm
Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
Bradycardia Diagnostic ... and Management ... Algorithm CONSIDER ... #Management #Bradycardia ... #Algorithm #Differential
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... - Management of ... Diagnostics: Chest ... rhythm or cardiac ischemia ... #CriticalCare #
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... - CBC with differential ... as clinically indicated ... iBookCC #COVID19 #algorithm ... #schema #Diagnosis
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Prognostication based on scores ... and clinical features ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
Endocarditis checklist ... Internet Book of Critical ... #Endocarditis #checklist ... #criticalcare # ... diagnosis #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... Internet Book of Critical ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... - Myocardial ischemia ... incongruous with clinical ... #Hypokalemia #Management ... #CriticalCare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Diagnosis Framework ... testing β€’ Seen in Short ... Lactic #Acidosis #Differential ... #Diagnosis #criticalcare