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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Atrial Fibrillation - Management Principles

1) TREAT ANY IDENTIFIED PRECIPTANT(S) 
2) RATE OR RHYTHM CONTROL 
3) ANTICOAGULATION
Fibrillation - Management ... RHYTHM CONTROL 3) ANTICOAGULATION ... #Fibrillation #Management ... #Emergency #Cardiology ... Disposition #Admission #Indications
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 Indication ... respiratory #support #COVID19 ... #management #schema ... hypoxia #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... in COVID19 The ... patients with COVID ... #management #schema ... hypoxia #failure #algorithm
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Framework and Management ... Primary Vascular: Pulmonary ... : 1) Indications ... Coagulopathy 4) Reverse Anticoagulation ... #pulmonary #criticalcare
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
approach to empiric anticoagulation ... in COVID-19 ... #COVID19 #management ... #schema #criticalcare ... #algorithm #SARSCOV2
Mount Sinai COVID-19 Anticoagulation Algorithm

Inclusion: All admitted patients with COVID-19
Exclusion: High risk of bleeding as judged
-19 Anticoagulation ... Algorithm Inclusion ... recent bleeding #Anticoagulation ... #Algorithm #COVID19 ... #SARSCOV2 #Management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... evaluation or management ... ChestPain #Diagnosis #Management ... #Algorithm #Cardiology
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... iBookCC #empiric #anticoagulation ... #COVID19 #management ... #schema #criticalcare ... #algorithm #SARSCOV2
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... β€’ Assess for Pulmonary ... Operability β†’ Pulmonary ... karanpdesai #cteph #management ... #algorithm #cardiology
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... patients with COVID ... respiratory #support #COVID19 ... #management #schema ... hypoxia #failure #algorithm