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 ... Consider Indication ... #management #schema ... #criticalcare #
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... patients with COVID ... VV-ECMO β€’ indicatons ... #management #schema ... #criticalcare #
Summary of Infections in which Steroids play a role in treatment
 β€’ TB meningitis
 β€’ TB
Summary of Infections ... pneumonia β€’ COVID ... pneumonia with hypoxemia ... Refractory septic shock ... #infections #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Failure, Toxins/Medications ... Abdominal compartment syndrome ... #criticalcare # ... algorithm #treatment #management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
- OnePager Summary ... CCB, BB, BRASH syndrome ... cytokine release syndrome ... #diagnosis #differential ... guyton #curves #criticalcare
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Hepatorenal Syndrome ... - Diagnosis and ... Management Summary ... existing ascites β€’ HypoNa ... #HRS #Diagnosis
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... congestion with hypoxemia ... #ARDS #Summary ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Arrest, Severe Hypoxemia ... , Compartment Syndrome ... in Short Bowel Syndrome ... #criticalcare #
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... of shock MICRO ... note, discharge summary ... Pearls #Checklist #diagnosis ... #workup #criticalcare
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
Troubleshooting - OnePager Summary ... Exchange Problems: β€’ HYPOXEMIA ... POST-CANNULATION SYNDROME ... #differential #management ... #criticalcare