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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Triage Algorithm COVID-19

First draft of a PROPOSED pathway for identify 'happy hypoxic' #COVID19 patients at triage,
Triage Algorithm ... identify 'happy hypoxic ... #COVID19 #Hypoxia ... Respiratory #Support #Management ... #SARSCOV2
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 ... Society of Critical ... #management #schema ... #failure #algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... look for focal a-lines ... diagnostics as clinically ... #algorithm #schema ... #Diagnosis #SARSCoV2
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... Proning is a front-line ... Internet Book of Critical ... #management #schema ... #failure #algorithm
COVID-19 Lung POCUS 

This is a POCUS of a patient with COVID-19.
No prior pulmonary disease; had
COVID-19 Lung POCUS ... a patient with COVID ... No prior pulmonary ... POCUS #Subpleural #Clinical ... Lung #Ultrasound #SARSCoV2
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COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... Internet Book of Critical ... Intubation #Checklist #SARSCoV2 ... #Management #CriticalCare
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Algorithm Source ... infections, whose clinical ... indwelling catheters or lines ... #Management #BloodCultures ... Protocol #Shapiro #Indications
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... Internet Book of Critical ... #management #schema ... #criticalcare #algorithm ... #SARSCOV2 #Coronavirus
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
any indwelling line ... endocarditis w/ septic pulmonary ... spleen, brain) Indications ... β€’ Aggressive management ... Internet Book of Critical
COVID-19 - Subpleural Consolidations on Lung POCUS

Doing daily POCUS LUS for ICU COVID-19 patients in Singapore
COVID-19 - Subpleural ... and density of B lines ... Helps with management ... #clinical #lung ... #ultrasound #pulmonary
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