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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criticalcare sarscov2 doffing hypoxia personalprotectiveequipment ppe schema support anesthesia anesthesiology coronavirus fahzu gamma ghb guidelines hydroxybutyrate indications interfaces intraoperative laryngospasm
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 ... Guidelines #respiratory ... criticalcare #hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory ... Support Algorithm ... us believe that intubation ... #management #schema ... criticalcare #hypoxia #failure
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
exacerbation (↓ intubation ... Other causes of respiratory ... failure, DNI status ... protect airway / remove ... #Ventilation #diagnosis
Protocol for Doffing PPE Wash hands and remove visible bodily fluids/blood contaminants on the outer surfaces at
air-purifying respirator ... /mask (if used) ... area FAHZU COVID ... #Checklist #Management ... #COVID19 #SARSCoV2
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... on exhalation port ... #Intubation #Checklist ... #SARSCoV2 #Management
CDC - HOW TO SAFELY REMOVE PERSONAL PROTECTIVE EQUIPMENT (PPE) There are a variety of ways
Remove the respirator ... MASK OR RESPIRATOR ... /respirator removal ... #Checklist #Management ... #COVID19 #SARSCoV2
CDC - HOW TO SAFELY REMOVE PERSONAL PROTECTIVE EQUIPMENT (PPE) There are a variety of ways
Remove the respirator ... MASK OR RESPIRATOR ... /respirator removal ... #Checklist #Management ... #COVID19 #SARSCoV2
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
patients with COVID ... filter • N95 mask ... #management #schema ... criticalcare #hypoxia #failure ... #algorithm
Gamma hydroxybutyrate (GHB) - Toxicology Clinical presentation - Symptoms of GHB toxicity include: short term anterograde amnesia,
toxicity include: short ... failure due to ... at the time of intubation ... Toxicology #Toxicity #Diagnosis ... #Management #Pharmacology
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
stimulation. ❸ Remove ... oxygen and face mask ... Consider tracheal intubation ... Intraoperative #Checklist ... #Diagnosis #Management
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