Dr. Gerald Diaz @GeraldMD
23.5M 13.8K 7.2K
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 ... #management #schema ... #criticalcare # ... hypoxia #failure
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... ) Examination: Pulmonary ... Cardiac, Neuro 4) Diagnose ... #criticalcare # ... pulmonary #Hypoxia
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Support Algorithm in COVID19 ... patients with COVID ... #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 ... patients with COVID ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
Extrapulmonary manifestations of COVID-19
 β€’ Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-BarrΓ©, Ageusia, Myalgia, Anosmia, Stroke
 β€’ Renal:
manifestations of COVID ... arrhythmias, Cardiogenic shock ... , Myocardial ischemia ... , Acute cor pulmonale ... Extrapulmonary #Diagnosis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... failure from massive pulmonary ... embolism or severe pulmonary ... Classification #types #diagnosis ... #management #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... β€’ Obstructive: Pulmonary ... #Differential #Diagnosis ... #criticalcare # ... algorithm #treatment #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... Cold and Dry) β€’ Pulmonary ... embolism or severe pulmonary ... Classification #Types #diagnosis ... #management #cold
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare