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 ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
us believe that intubation ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
COVID-19 AIRWAY MANAGEMENT ALGORITHM
1. PREPARATION
2. PRE-CHECK & PRE-BRIEF
3. PROCEDURE
4. POST CHECKS
5. DEBRIEF

Michigan Medicine @umichmedicine

#COVID19 #AIRWAY #Intubation
COVID-19 AIRWAY ... MANAGEMENT ALGORITHM ... #AIRWAY #Intubation ... #MANAGEMENT #ALGORITHM ... #Coronavirus #CriticalCare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
hypoxemic respiratory failure ... rate of requiring intubation ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... β€’ Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 β€’ Push hard (at least 2
Adult ACLS - Cardiac ... Arrest Algorithm ... β€’ Endotracheal intubation ... , Thrombosis, (pulmonary ... #AHA2020 #management
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 β€’ Push hard (at least
Cardiac Arrest - ACLS ... Circular Algorithm ... β€’ Endotracheal intubation ... , Thrombosis, (pulmonary ... #AHA2020 #management