Dr. Gerald Diaz @GeraldMD
34.2M 14.0K 7.4K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
D-Sign of Acute ... Pulmonary Embolism on POCUS ... D-sign appreciated ... Pulmonary #Embolism #POCUS ... #CriticalCare
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Pulmonary Embolism on POCUS ... bulging septum on PLAX ... D-sign appreciated ... #PLAX #Echocardiogram ... #CriticalCare
Awake Tracheal Intubation (ATI)
 • ATI Technique
 • Ergonomics for ATI
 • Managing Procedural Complications
 •
Awake Tracheal Intubation ... Complications • Management ... #ATI #airway #management ... #anesthesia #criticalcare ... #algorithm #complications
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 ... for endotracheal intubation ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation ... PPE, Capnograph PLAN ... MANAGEMENT o ... #checklist #criticalcare ... #airway #management
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... MEDS & EQUIPMENT: Plan ... Protected #Airway #Intubation ... Checklist #COVID19 #CriticalCare ... #Management
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
the Ventilator - Algorithm ... Setting up for extubation ... Weaning #Ventilator #Algorithm ... #Extubation #CriticalCare ... #Management
Priority-based management algorithm for the undifferentiated patient in PEA arrest
PEA (no pulse by manual palp +
Priority-based management ... algorithm for the ... Cardiac POCUS 3 ... A-line placement - POCUS ... #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... us believe that intubation ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
COVID-19 Intubations ... equipment for plan ... and B, and that plan ... #Assignments #Management ... #CriticalCare #