Dr. Gerald Diaz @GeraldMD
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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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Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... ARDSnet low-PEEP table ... patients #iSTAR #Algorithm ... #CriticalCare
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... - respiratory failure ... @nickmmark #ARDS ... Syndrome #Diagnosis #Management ... #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... overload with heart failure ... Management ● Early ... days after dx of ARDS ... #CriticalCare
Algorithm for bradycardic peri-arrest 
 - Bradycardiac peri-arrest may be loosely defined as severe bradycardia with
Algorithm for bradycardic ... The algorithm below ... There are two “arms ... Bradycardia #Periarrest #Algorithm ... #Management #CriticalCare
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
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 #survivingsepsis
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
Approach to ARDS ... PROSEVA trial (figure ... Initial management ... #Management #CriticalCare ... #Algorithm #PROSEVA
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... Algorithm Identify ... Monitors, Pads AP Stable ... shock or heart failure ... #Algorithm #peds
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
Checklist for Return to Supine Position

#Proning #Proned #Algorithm #Supine #Supination #ARDS #Checklist #Management #CriticalCare
Proning #Proned #Algorithm ... Supine #Supination #ARDS ... #Checklist #Management ... #CriticalCare