Dr. Gerald Diaz @GeraldMD
24.6M 13.9K 7.3K
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 ... Laboratory Workup COVID ... -19 Specific Medications ... #ICU #criticalcare ... NonIntensivist #diagnosis
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
QRS #widening #ECG ... #EKG #Pharmacology ... #Medications #Toxicology ... #Diagnosis #Differential
COVID-19 Patient Intubation Checklist and Supplies

Intubation Equipment List
 β€’ Appropriately sized tracheal tube with subglottic suction
COVID-19 Patient ... Emergency drugs e.g ... and equipment e.g ... dr_imranahmad #COVID19 ... #Supplies #CriticalCare
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Support Algorithm in COVID19 ... low flow oxygen (e.g ... patients with COVID ... us believe that intubation ... management #schema #criticalcare
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... emergent additional medication ... to support the medication ... #Intubation #Teams ... Assignments #Management #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
COVID-19 Intubation ... Medications & pre-planned ... Care @iBookCC #COVID19 ... #Intubation #Checklist ... SARSCoV2 #Management #CriticalCare
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation ... Free flowing IV, EKG ... Awake o Pre-Medication ... De-nitrogenation o Push medications ... #checklist #criticalcare
Anti-IL6 Agents (Tocilizumab, Siltuximab) in COVID19

IL-6 activates T cells and macrophages, among other cell types (see
Siltuximab) in COVID19 ... Tocilizumab 4-8mg/kg ... Siltuximab 11mg/kg ... #Pharmacology # ... Management #Medications
Potassium Channel Blockers - Medications
1. Cardiovascular Drugs
2. Psychiatric drugs
3. Other drugs
4. Synthetic opioids: Levomethadyl 
5. Opium
Channel Blockers - Medications ... ChannelBlockers #Medications ... #Differential #Diagnosis ... #Pharmacology # ... Toxicology
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
hydroxybutyrate (GHB) - Toxicology ... at the time of intubation ... Hydroxybutyrate #GHB #Toxicology ... #Toxicity #Diagnosis ... #Management #Pharmacology