Dr. Gerald Diaz @GeraldMD
23.6M 13.8K 7.2K
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 ... anandiyermd #Extubation ... Mnemonic #MASCOTS #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
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
Setting up for extubation ... long lasting pain meds ... Ventilator #Algorithm #Extubation ... #CriticalCare # ... Management
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
Protected Airway Intubation ... MEDS & EQUIPMENT ... Protected #Airway #Intubation ... Checklist #COVID19 #CriticalCare ... #Management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
COVID-19 Intubation ... complete body coverage ... iBookCC #COVID19 #Intubation ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 β€’ Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... serotoninergic meds ... instability: β€’ Intubation ... β€’ Dosing: 12mg loading ... Serotonin #Syndrome #Management
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
lung disease are doing ... us believe that intubation ... support #COVID19 #management ... #schema #criticalcare
Post-Intubation Pre-Departure Checklist - COVID19
1. If intubated, CONFIRM ETT PLACEMENT -> EtCO2
   - If
Post-Intubation ... IDENTIFY doffing ... PreDeparture #Post #Intubation ... Checklist #COVID19 #CriticalCare ... #Management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
c deliriogenic meds ... sleeping, administer pharmacologic ... Reorientation during ... Delirium #Checklist #Management ... Treatment #MICU #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
to facilitate extubation ... No pharmacologic ... (Haldol) - No pharmacologic ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management