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 ... #support #COVID19 ... #management #schema ... #criticalcare # ... hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Support Algorithm ... #support #COVID19 ... #management #schema ... #criticalcare # ... hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
respiratory support ... #support #COVID19 ... #management #schema ... #criticalcare # ... hypoxia #failure
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
AIRBORNE ISOLATION/COVID19 ... Take Into Room Support ... #Intubation #Airway ... #CriticalCare # ... Management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Support: -The role ... support is generally ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare
β–Ί
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
Minimize Exposure Respiratory ... equipment or to support ... Backup b) Surgical Airway ... #Assignments #Management ... #CriticalCare #
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
VV: Refractory hypoxemia ... /mixed respiratorv ... failure used as ... #Oxygenation #diagnosis ... #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... congestion with hypoxemia ... overload with heart failure ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare