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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9 results
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
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
diagnosis and treatment ... Internet Book of Critical ... #management #schema ... #criticalcare #algorithm ... #SARSCOV2 #Coronavirus
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Algorithm for Convulsive ... Refractory medications ... #Epilepticus #Treatment ... #Algorithm #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... patients with COVID ... Proning is a front-line ... #management #schema ... hypoxia #failure #algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... ADVANCED AIRWAY MANAGEMENT ... succinylcholine REFRACTORY MEDICATION ... #Algorithm #Convulsive
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
infections, whose clinical ... status appears ... indwelling catheters or lines ... #Management #BloodCultures ... Protocol #Shapiro #Indications
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
anticoagulation in COVID ... Internet Book of Critical ... #management #schema ... #criticalcare #algorithm ... #SARSCOV2 #Coronavirus
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... intrinsic factor, IF) Clinical ... malabsorptive state ... Check for IF ab Treatment ... Deficiency #diagnosis #management
Hypothermia - Protocol for ED
CORE TEMP < 34ΒΊ
INITIAL THERAPY
 β€’ Remove wet garments
 β€’ Avoid rough
INVESTIGATIONS β€’ Stat ... Glucose β€’ CBC, Chem ... β€’ Slow - Hot Line ... Hypothermia #Protocol #management ... #treatment #algorithm