Dr. Gerald Diaz @GeraldMD
39.3M 14.2K 7.5K
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/
Contributor Ranks
Latest Searches
18 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... BiPAP titration ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... -BiPAP should never ... #Management #CriticalCare ... #BiPAP #BiLevel ... RespiratorySupport #Selection #Algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation (BiPAP ... ) Algorithm - Indications ... #Ventilation #BiPAP ... #Algorithm #criticalcare ... #management #indications
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... both EPAP and IPAP ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #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 ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Prednisone • NIPPV: BiPAP ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... evaluation or management ... ChestPain #Diagnosis #Management ... #Algorithm #Cardiology
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... - Management of ... rhythm or cardiac ischemia ... #CriticalCare # ... #Exacerbation #Algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... • Assess for Pulmonary ... Operability → Pulmonary ... karanpdesai #cteph #management ... #algorithm #cardiology