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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differential algorithm classification respiratory causes ecmo overview admissions admitting checklist extracorporeal guidelines icu lactate lactic membrane oxygenation pearls problems survivingsepsis
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 ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for ... respiratory support ... #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Arrest, Severe Hypoxemia ... Systemic liver Failure ... , Renal failure, ... #criticalcare #
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... Renal: metabolic acidosis ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... Renal: metabolic acidosis ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... multisystem organ failure ... vascular → RV failure ... Classification #types #diagnosis ... #management #criticalcare
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
VV: Refractory hypoxemia ... mixed respiratorv failure ... PE, cardiogenic shock ... #Oxygenation #diagnosis ... #management
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
pre-existing heart failure ... esp in work-up/management ... of shock MICRO ... Pearls #Checklist #diagnosis ... #workup #criticalcare
ECMO Troubleshooting - OnePager Summary ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
Exchange Problems: • HYPOXEMIA ... • HYPERCAPNIA/ACIDOSIS ... Troubleshooting #problems #diagnosis ... #differential #management ... #criticalcare
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