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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algorithm checklist failure hypoxia respiratory extracorporeal membrane oxygenation summary workup acute admissions admitting anticoagulation ards basics cheatsheet coronavirus empiric endocarditis
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiopulmonary support ... used to treat pulmonary ... lungs (pulmonary ... #Basics #management ... #pulmonary #criticalcare
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for ... respiratory support ... patients with COVID ... #COVID19 #management ... #schema #criticalcare
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 ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... or circulatory support ... cannula • VA: Pulmonary ... #Oxygenation #diagnosis ... #management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Ensure adequate support ... Tamponade - Pulmonary ... #criticalcare #
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... assessment“ (e.g. echo ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Possible Approach to Immunosuppression in Severe COVID-19 The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... -19 The diagnosis ... anticoagulation #COVID19 ... #management #schema ... #criticalcare #
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... Consider repeat echo ... • Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... initial bedside echo ... is never a bad idea ... Pearls #Checklist #diagnosis ... #workup #criticalcare
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