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
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
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... VV: Refractory hypoxemia ... cannula β€’ VA: Pulmonary ... #Oxygenation #diagnosis ... #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Bronchodilators/Steroids Hypoxemia ... hyperinflation, Ischemia ... Troubleshooting #diagnosis ... #management #pulmonary
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
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 #
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Ensure adequate support ... Tamponade - Pulmonary ... #criticalcare #