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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Protocol for Doffing PPE

Wash hands and remove visible bodily fluids/blood contaminants on the outer surfaces at
/mask (if used) ... mask β€’ Wash hands ... area FAHZU COVID ... #Checklist #Management ... #COVID19 #SARSCoV2
Checklist for removing PPE, using a tear-away gown here (this type of gown is preferred)
Inside the
Checklist for removing ... Remove gown and ... Remove face shield ... Donning #Doffing #Checklist ... #Management #COVID19
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
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
CDC - HOW TO SAFELY REMOVE PERSONAL PROTECTIVE EQUIPMENT (PPE) 
There are a variety of ways
MASK OR RESPIRATOR ... β€’ Front of mask ... elastics of the mask ... #Checklist #Management ... #COVID19 #SARSCoV2
CDC - HOW TO SAFELY REMOVE PERSONAL PROTECTIVE EQUIPMENT (PPE) 
There are a variety of ways
MASK OR RESPIRATOR ... β€’ Front of mask ... elastics of the mask ... #Checklist #Management ... #COVID19 #SARSCoV2
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
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
of respiratory failure ... protect airway / remove ... mask, Risk of emesis ... #Ventilation #diagnosis ... #management #indications
Checklist for removing PPE, using a gown with fixed neck ties.
Inside the patient room (or ante-room):
1.
Checklist for removing ... Remove face shield ... Remove gown and ... Donning #Doffing #Checklist ... #Management #COVID19
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
stimulation. ❸ Remove ... oxygen and face mask ... Intraoperative #Checklist ... #Diagnosis #Management