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 ... Management Indication ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” 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
 β€’ Typically set at
General schema for ... respiratory support ... patients with COVID ... #COVID19 #management ... #schema #criticalcare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Arrest, Severe Hypoxemia ... , Regional Ischemia ... Beta-Agonists, ↑ work ... #criticalcare #
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... ) β€’ Elevated lactate ... Ensure adequate support ... #criticalcare #
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
/management of shock ... is never a bad idea ... scenario): β€’ Lactate ... Pearls #Checklist #diagnosis ... #workup #criticalcare