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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Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
respiratory support ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
β–Ί
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
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
Non-Invasive Positive Pressure Ventilation
Indications: 
 β€’ COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Other causes of respiratory ... failure, DNI status ... protect airway / remove ... #Ventilation #diagnosis ... #management #indications
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
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