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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Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Hypoxemia and Dyspnea ... using hypoxemia ... the underlying cause ... #criticalcare # ... pulmonary #Hypoxia
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
in more severe hypoxemia ... for refractory hypoxemia ... #management #schema ... #criticalcare # ... hypoxia #failure
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... assessmentβ€œ (e.g. echo ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... VV: Refractory hypoxemia ... PE, cardiogenic shock ... #Oxygenation #diagnosis ... #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... failure from massive pulmonary ... embolism or severe pulmonary ... Classification #types #diagnosis ... #management #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Bronchodilators/Steroids Hypoxemia ... hyperinflation, Ischemia ... Treat underlying cause ... Troubleshooting #diagnosis ... #management #pulmonary
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
circuit and can cause ... Exchange Problems: β€’ HYPOXEMIA ... Troubleshooting #problems #diagnosis ... #differential #management ... #criticalcare