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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Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
sealed systems (CPAP ... /BPAP/ventilator ... NRB) β€’ Venturi Mask ... Flow #Comparison #management ... #criticalcare
CPAP Troubleshooting Tips
1. Wrong size/style mask β†’ try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... forced air β†’ use device ... BrighamChiefs #CPAP ... Troubleshooting #Tips #management ... #problems #pulmonary
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
Devices Simple ... Mask: β€’ Flow ... Oxygen #Delivery #Devices ... #management #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 ... Cardiac, Neuro 4) Diagnose ... #criticalcare # ... pulmonary #Hypoxia
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... airway / remove mask ... Nasal Modes: β€’ CPAP ... #Ventilation #diagnosis ... #management #indications
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... the hypoxemia defines ... Hg with PEEP or CPAP ... Definition #Criteria #Diagnosis ... #CriticalCare
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 β€’
β€’ PH (mean PAP ... - dPAP) / RAP ... Ahmed Ghoneem, MD MSc ... artery #catheter #diagnosis ... #cardiology #swanganz
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
Remove airway devices ... oxygen and face mask ... negative-pressure pulmonary ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
lesions β€’ DISTAL CAP ... mucosa Stricture Management ... ENTEROSCOPE - Diagnostic ... COLONOSCOPE - Diagnostic ... β€’ ENDOSCOPIC ULTRASOUND
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... Organ failure β€” device ... #HeartFailure #Cardiology ... #Management