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 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for ... respiratory support ... patients with COVID ... #COVID19 #management ... #schema #criticalcare
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
AIRBORNE ISOLATION/COVID19 INTUBATION CHECKLIST
Does this patient require ETI? 
If patient is to be intubated and is
AIRBORNE ISOLATION/COVID19 ... Take Into Room Support ... Airway #Checklist #COVID19 ... #CriticalCare # ... Management
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Arrythmias, Peripheral ischemia ... effects: Peripheral ischemia ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Pressors and Inotropes

Norepinephrine
 β€’ alpha1 > beta 1
 β€’ Increase SVR > Inotropy
Vasopressin
 β€’ V1
 β€’
Pressors #Inotropes #criticalcare ... #pharmacology # ... comparison #shock ... #management
Mechanical Ventilation: The Basics
In the most basic sense, ventilator modes are defined by their control variable
from, we will review ... 88% Pressure Support ... with pressure to support ... Basics #Modes #Comparison ... #management #criticalcare
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... equipment or to support ... Response The COVID ... #Assignments #Management ... #CriticalCare #