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
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery Devices ... Variable devices ... NRB) β€’ Venturi Mask ... Flow #Comparison #management ... #criticalcare
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
Oxygen Delivery Devices - Comparison
Low Flow:
 β€’ Nasal cannula (1-6L, 24-40% FiO2)
 β€’ Face mask (5-10L,
Oxygen Delivery Devices ... FiO2) β€’ Face mask ... Oxygen #Delivery #Devices ... Comparison #table #pulmonary ... #criticalcare
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
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
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Oxygen Delivery Devices ... In hypoxemic respiratory ... Oxygen #Delivery #Devices ... #management #pulmonary ... #criticalcare
CPAP Troubleshooting Tips
1. Wrong size/style mask β†’ try a different mask, nasal pillows
2. Trouble getting used
forced air β†’ use device ... Unintentionally removing device ... check air filter, device ... Troubleshooting #Tips #management ... #problems #pulmonary
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
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... lung collapse, or pulmonary ... severity of the hypoxemia ... defines the severity ... Criteria #Diagnosis #CriticalCare