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 failure hypoxia respiratory treatment checklist coronavirus differential icu sarscov2 workup admissions admitting anticoagulation cardiology cardiomyopathy classification criteria ecmo embolism
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
Extrapulmonary manifestations of COVID-19 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke • Renal:
manifestations of COVID ... arrhythmias, Cardiogenic shock ... , Myocardial ischemia ... , Acute cor pulmonale ... Extrapulmonary #Diagnosis
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
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Ensure adequate support ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • 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 ... • Obstructive: Pulmonary ... #Differential #Diagnosis ... #criticalcare # ... algorithm #treatment #management
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... cannula • VA: Pulmonary ... PE, cardiogenic shock ... #Oxygenation #diagnosis ... #management
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... Classification #types #diagnosis ... #management #criticalcare
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
Sepsis - Diagnosis ... infection SEPTIC SHOCK ... Patients w/ septic shock ... 3 Vasopressor support ... #SIRS #criticalcare
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