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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Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... #criticalcare # ... pulmonary #Hypoxia
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
disease (COPD) β€’ Hypoxia ... β€’ Pulmonary hypertension ... Management ... Tachycardia #MAT #Cardiology ... Diagnosis #ECG #EKG #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
in more severe hypoxemia ... filter β€’ N95 mask ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Oxygen Delivery Devices - Comparison
Low Flow:
 β€’ Nasal cannula (1-6L, 24-40% FiO2)
 β€’ Face mask (5-10L,
Delivery Devices - Comparison ... FiO2) β€’ Face mask ... Delivery #Devices #Comparison ... #table #pulmonary ... #criticalcare
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 ... Management ● Early ... #CriticalCare
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 ... types #diagnosis #management ... #criticalcare #
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... Devices Simple Mask ... aka Hudson's Mask ... Delivery #Devices #management ... #pulmonary #criticalcare
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... Tamponade - Pulmonary ... Shock #Diagnosis #Management ... #Summary #criticalcare
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
MUSCULOSKELETAL ULTRASOUND ... Nerve: Ultrasound ... MUSCULOSKELETAL #MSK ... Atlas #Clinical #Radiology ... #Comparison
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... in cardiogenic pulmonary ... (no B-lines on ultrasound ... #HeartFailure #Cardiology ... #Management