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
Triage Algorithm COVID-19

First draft of a PROPOSED pathway for identify 'happy hypoxic' #COVID19 patients at triage,
Triage Algorithm COVID ... identify 'happy hypoxic ... Work in progress ... #Hypoxia #Respiratory ... #Support #Management
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
Initial Laboratory Workup ... Medications Respiratory ... #ICU #criticalcare ... NonIntensivist #diagnosis ... #management
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Support: -The role ... the patient's work ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare
β–Ί
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
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Arrest, Severe Hypoxemia ... Beta-Agonists, ↑ work ... Systemic liver Failure ... , Renal failure, ... #criticalcare #
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
pre-existing heart failure ... /management of shock ... is never a bad idea ... Pearls #Checklist #diagnosis ... #workup #criticalcare