Dr. Gerald Diaz @GeraldMD
39.5M 14.2K 7.5K
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 ... #management #schema ... #criticalcare # ... hypoxia #failure
COVID-19: ICU Guidelines for the Non-Intensivist
Infection Control
Risk Factors for Severe Disease
Initial Laboratory Workup
COVID-19 Specific Medications
Respiratory
Cardiac
Hematologic
Neuro/Sedation

#COVID19 #ICU
COVID-19: ICU Guidelines ... Initial Laboratory Workup ... #ICU #criticalcare ... NonIntensivist #diagnosis ... #management
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Support Algorithm in COVID19 ... patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... patients with COVID ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Obstructive 4) Diagnosis ... and Workup 5) ... #criticalcare # ... Shock
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... and Survey 4) Workup ... #Diagnosis #Management ... #Summary #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... shock, cryptic ... shock. ... Classification #types #diagnosis ... #management #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... state of tissue hypoxia ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... state of tissue hypoxia ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Cardiogenic & Septic Shock ... Arrest, Severe Hypoxemia ... Beta-Agonists, ↑ work ... #criticalcare #