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: ICU Guidelines for the Non-Intensivist
Infection Control
Risk Factors for Severe Disease
Initial Laboratory Workup
COVID-19 Specific Medications
Respiratory
Cardiac
Hematologic
Neuro/Sedation

#COVID19 #ICU
COVID-19: ICU Guidelines ... Specific Medications Respiratory ... #ICU #criticalcare ... NonIntensivist #diagnosis ... #management
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 ... Guidelines #respiratory ... #criticalcare # ... hypoxia #failure
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory ... @emupdates #respiratory ... #management #schema ... #criticalcare # ... hypoxia #failure
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

β€’  Timing - within one week of
Treating ARDS - Acute Respiratory ... Origin of Edema - respiratory ... failure not explained ... Acute #Syndrome #Diagnosis ... #Management #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for respiratory ... patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Approach to Selecting Respiratory ... of noninvasive respiratory ... the patient's diagnosis ... pneumonia vs. heart failure ... #Management #CriticalCare
β–Ί
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart Failure ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
hypotension and respiratory ... withdrawal - Respiratory ... failure due to ... Toxicology #Toxicity #Diagnosis ... #Management #Pharmacology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... overload with heart failure ... Management ● Early ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
you can always review ... esp in work-up/management ... ) MEDS: Quick review ... Pearls #Checklist #diagnosis ... #workup #criticalcare