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 ... #management #schema ... #criticalcare # ... hypoxia #failure
Cardiff COVID-19 Daily checklist - Matt Morgan
A daily checklist for critically ill #covid19 patients. Concentrates on
Cardiff COVID-19 ... critically ill #covid19 ... - Have we reviewed ... #Daily #criticalcare ... #SARSCoV2 #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... MI, Acute Heart Failure ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... inopressors #diagnosis #management
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Support Algorithm in COVID19 ... patients with COVID ... #management #schema ... #criticalcare # ... hypoxia #failure
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare # ... comparison #table #pharmacology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Dehydration Shock ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology
Possible Ventilator Allocation Protocol

BLUE (Exclusion criterion or SOFA > 11)
 - No Ventilator Provided
 - Use
or Single organ failure ... significant organ failure ... Allocation #Protocol #COVID19 ... #CriticalCare # ... Management #Ethics
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... decompensated heart failure ... vascular β†’ RV failure ... types #diagnosis #management ... #criticalcare #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... thyroid dz liver failure ... β€’ MI, Heart Failure ... Classification #diagnosis #management ... #Overview #criticalcare