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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... injury β€’ ED Management ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... #TerryThomas #Wrist ... #Management #Orthopedics ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... fractures β€’ ED Management ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
SEQUENCE FOR PUTTING ON PERSONAL PROTECTIVE EQUIPMENT (PPE)

1. GOWN
β€’	 Fully cover torso from neck to knees,
arms to end of wrists ... MASK OR RESPIRATOR ... Extend to cover wrist ... #PPE #Donning #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
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation β€’ ED Management ... Scaphoid #Fracture #Wrist ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
CDC - HOW TO SAFELY REMOVE PERSONAL PROTECTIVE EQUIPMENT (PPE) 
There are a variety of ways
remaining glove at wrist ... MASK OR RESPIRATOR ... β€’ Front of mask ... Doffing #Removal #Checklist ... #Management #COVID19
CDC - HOW TO SAFELY REMOVE PERSONAL PROTECTIVE EQUIPMENT (PPE) 
There are a variety of ways
remaining glove at wrist ... MASK OR RESPIRATOR ... β€’ Front of mask ... Doffing #Removal #Checklist ... #Management #COVID19