Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The โ€˜intubate earlyโ€™ paradigm, where patients who โ€œfailโ€ low flow oxygen
Algorithm in COVID19 ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 โ€ข Typically set at
General schema for ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
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Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... -19 The diagnosis ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
anticoagulation in COVID ... anticoagulation #COVID19 ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isnโ€™t a diagnosis. Like many things, it is a condition
Algorithm Polycythemia ... phlebotomy, or chemo ... high - Chronic hypoxia ... always a good idea ... #Algorithm #workup
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
PseudoARDS A diagnostic ... PROSEVA trial (figure ... persistent severe hypoxemia ... #Management #CriticalCare ... ARDS #PseudoARDS #Algorithm
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