Dr. Gerald Diaz @GeraldMD
30.8M 13.9K 7.3K
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 ... Indication for ... Consider Indication ... support #COVID19 #management ... #schema #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
- Indications ... Massive PE (definite indication ... Treatment #AcutePE #Management ... #CriticalCare
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 β€’ COPD - pH <7.35, pCO2
BiPAP) Algorithm - Indications ... Contraindications Indications ... BiPAP #Algorithm #criticalcare ... #management #indications
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Framework and Management ... Coagulopathy Initial Management ... : 1) Indications ... Differential #Diagnosis #Management ... #pulmonary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality, LOS NIPPV Indications ... Pt is DNI with indication ... NIPPV #CPAP #BPAP #indications ... #criticalcare # ... management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
positioning β€’ Exact indication ... VV-ECMO β€’ indicatons ... support #COVID19 #management ... #schema #criticalcare
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
spleen, brain) Indications ... β€’ Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... #pharmacology #indications
Balloting the ETT cuff refers to exerting gentle bouncing pressure over the suprasternal notch while palpating
specificity for indicating ... #Management #CriticalCare
Intubation Timeline and Medications
#Management #Pharm #CriticalCare #RSI #RapidSequenceIntubation #Timeline #Medications #Doseages #Checklist
Intubation Timeline and Medications ... #Management #Pharm ... #CriticalCare # ... RapidSequenceIntubation #Timeline #Medications