Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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algorithm failure respiratory summary workup acute admissions admitting anticoagulation ards cheatsheet checklist coronavirus differential empiric extracorporeal guidelines icu membrane oxygenation
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for ... respiratory support ... patients with COVID ... #COVID19 #management ... #schema #criticalcare
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 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
or circulatory support ... no circulatory support ... VV: Refractory hypoxemia ... #Oxygenation #diagnosis ... #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
congestion with hypoxemia ... assessment“ (e.g. echo ... Management ● Early ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Ensure adequate support ... elevated JVP, echo ... #criticalcare #
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 ... anticoagulation #COVID19 ... #management #schema ... #criticalcare #
ECMO Troubleshooting - OnePager Summary ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
ECMO Troubleshooting ... Exchange Problems: • HYPOXEMIA ... Troubleshooting #problems #diagnosis ... #differential #management ... #criticalcare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... initial bedside echo ... is never a bad idea ... Pearls #Checklist #diagnosis ... #workup #criticalcare
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