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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Extubation Checklist Mnemonic - MASCOTS
M - Mechanism (Underlying mechanism improving)
A - Airway (Patent, difficult intubation)
S -
Extubation Checklist ... Patent, difficult intubation ... Oxygenation (O2 stable ... anandiyermd #Extubation ... #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 ... for endotracheal intubation ... for endotracheal intubation ... DO NOT: Delay intubation ... #failure #algorithm
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... Pre-Brief Checklist ... MEDS & EQUIPMENT ... Protected #Airway #Intubation ... #CriticalCare #Management
Do you manage Kids’ airway?

Paediatric Airway Chart for the FOAMed Airway crew who deals with kids’
@DrEricLevi #Management ... #Peds #Pediatrics ... #Chart #Sizes #Intubation ... Instruments #Devices #Table
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Epilepticus - Management ... between them PEDS ... Infusion - Consider Intubation ... #treatment #algorithm ... #peds #pediatrics
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
the Ventilator - Algorithm ... Setting up for extubation ... long lasting pain meds ... #Extubation #CriticalCare ... #Management
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Respiratory Support Algorithm ... us believe that intubation ... support #COVID19 #management ... #criticalcare #hypoxia ... #failure #algorithm
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 β€’ Push hard (at least 2
Adult ACLS - Cardiac ... Arrest Algorithm ... β€’ Endotracheal intubation ... β€’ Hypovolemia, Hypoxia ... #AHA2020 #management
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 β€’ Push hard (at least
Cardiac Arrest - ACLS ... Circular Algorithm ... β€’ Endotracheal intubation ... β€’ Hypovolemia, Hypoxia ... #AHA2020 #management
Post-Intubation Pre-Departure Checklist - COVID19
1. If intubated, CONFIRM ETT PLACEMENT -> EtCO2
   - If
Post-Intubation ... Pre-Departure Checklist ... CONFIRM MEDS & equipment ... PreDeparture #Post #Intubation ... #CriticalCare #Management