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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schema hypoxia respiratory support coronavirus icu intubation sarscov2 admissions admitting agitation anticoagulation ards bilevel bipap delirium differential empiric endocarditis european
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 ... Monitor closely short ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
filter • N95 mask ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... on exhalation port ... #SARSCoV2 #Management ... #CriticalCare #
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... causing heart failure ... #Endocarditis #checklist ... #criticalcare # ... diagnosis #management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... Insufficiency, Liver Failure ... #criticalcare # ... algorithm #treatment ... #management
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
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 Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... pre-existing heart failure ... esp in work-up/management ... #diagnosis #workup ... #criticalcare
Post-Intubation Pre-Departure Checklist - COVID19 1. If intubated, CONFIRM ETT PLACEMENT -> EtCO2 - If
Pre-Departure Checklist ... - COVID19 1. ... TRANSPORT + HiOX mask ... #COVID19 #CriticalCare ... #Management
Possible Approach to Immunosuppression in Severe COVID-19 The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... -19 The diagnosis ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
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