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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diagnosis shock checklist delivery oxygen cardiology comparison treatment cpap differential indications noninvasive ventilation workup algorithm anesthesia anesthesiology artery bpap calculations
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Shock - Management ... (no B-lines on ultrasound ... Organ failure — device ... #HeartFailure #Cardiology ... #Management
Oxygen Delivery Devices 1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery Devices ... Variable devices ... NRB) • Venturi Mask ... Flow #Comparison #management ... #criticalcare
Hypotension - Rapid Response Management 1) Ask for vitals en route 2) Immediate Assessment 3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... directed approach • Cardiogenic ... #Hypotension #Management ... #criticalcare #
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Devices Simple ... Mask: • Flow ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
Oxygen Delivery Devices - Comparison Low Flow: • Nasal cannula (1-6L, 24-40% FiO2) • Face mask (5-10L,
Oxygen Delivery Devices ... FiO2) • Face mask ... Oxygen #Delivery #Devices ... Comparison #table #pulmonary ... #criticalcare
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
CPAP Troubleshooting Tips 1. Wrong size/style mask → try a different mask, nasal pillows 2. Trouble getting used
forced air → use device ... Unintentionally removing device ... check air filter, device ... Troubleshooting #Tips #management ... #problems #pulmonary
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
↓ mortality), Cardiogenic ... pulmonary edema ... airway / remove mask ... Ventilation #diagnosis #management ... #indications #pulmonary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... Tamponade - Pulmonary ... resuscitation • Cardiogenic ... #Summary #criticalcare
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