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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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 ... Management Indication ... Monitor closely short ... criticalcare #hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... lung disease are doing ... #management #schema ... criticalcare #hypoxia #failure ... #algorithm
Checklist for removing PPE, using a tear-away gown here (this type of gown is preferred)
Inside the
Checklist for removing ... - Front of the mask ... #PPE #Removal #Donning ... #Doffing #Checklist ... #Management #COVID19
Protocol for Donning PPE

Put on special work clothes and work shoes β€’ Wash hands~ Put on
Protocol for Donning ... medical protective mask ... gloves FAHZU COVID ... #On #Checklist ... #Management #COVID19
Protocol for Doffing PPE

Wash hands and remove visible bodily fluids/blood contaminants on the outer surfaces at
Protocol for Doffing ... area FAHZU COVID ... University #PPE #Doffing ... #Removal #Checklist ... #Management #COVID19
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... on exhalation port ... using BVM: Hold mask ... #SARSCoV2 #Management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... filter β€’ N95 mask ... #management #schema ... criticalcare #hypoxia #failure ... #algorithm
Nicotine Replacement Therapy - Dosing Schedules 

Here's an easy way to remember dosing for Nicotine Replacement
way to remember dosing ... Just ask the patient ... one of my older posts ... Replacement #Therapy #Management ... #Algorithm #Patch
Post-Intubation Pre-Departure Checklist - COVID19
1. If intubated, CONFIRM ETT PLACEMENT -> EtCO2
   - If
Pre-Departure Checklist ... - COVID19 1. ... TRANSPORT + HiOX mask ... IDENTIFY doffing ... #Management
Checklist for removing PPE, using a gown with fixed neck ties.
Inside the patient room (or ante-room):
1.
Checklist for removing ... - Front of the mask ... #PPE #Removal #Donning ... #Doffing #Checklist ... #Management #COVID19