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 Indication ... Surviving Sepsis Guidelines ... #management #schema ... criticalcare #hypoxia #failure
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... 3) UOP > 0.5 cc ... #Differential # ... algorithm #treatment #management
Recommended Follow-up of Treated Syphilis Cases

EVIDENCE OF TREATMENT FAILURE OR POSSIBLE REINFECTION
β€’ Persistence or recurrence of
EVIDENCE OF TREATMENT FAILURE ... results) POSSIBLY: Failure ... initial titer 1:32, failure ... #Treatment #Management ... #Guidelines #CDC
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... echocardiography - CBC ... function tests if shock ... HeartFailure #Cardiology #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... thyroid dz liver failure ... β€’ MI, Heart Failure ... Classification #diagnosis #management ... #criticalcare #differential
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... decompensated heart failure ... vascular β†’ RV failure ... types #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... thyroid dz liver failure ... β€’ MI, Heart Failure ... Classification #diagnosis #management ... #criticalcare #differential
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... volumes of ~6 cc ... respiratory #support #COVID19 ... #management #schema ... criticalcare #hypoxia #failure
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - Guidelines ... surgery; equipment failure ... cause using the guideline ... CardiacArrest #Checklist #Differential ... Checklist #Diagnosis #Management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
pre-existing heart failure ... esp in work-up/management ... of shock MICRO ... review can help you figure ... most ICU pts a CBC