Dr. Gerald Diaz @GeraldMD
34.3M 14.1K 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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Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... small valve to mix oxygen ... #Oxygen #Delivery ... #Devices #management ... #pulmonary #criticalcare
POCUS Reference Measurements
 • Gallbladder
 • Urinary Bladder
 • GI Tract
 • Pregnancy
 • Optic Nerve
Optic Nerve • MSK ... #Measurements #Ultrasound ... #Echocardiogram
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 ... Tolerating supplemental oxygen ... support #COVID19 #management ... #schema #criticalcare
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery ... Oxygen delivery ... NRB) • Venturi Mask ... Flow #Comparison #management ... #criticalcare
Oxygen Delivery Devices - Comparison
Low Flow:
 • Nasal cannula (1-6L, 24-40% FiO2)
 • Face mask (5-10L,
Oxygen Delivery ... FiO2) • Face mask ... Face tent/shovel mask ... iMedEducation #Oxygen ... table #pulmonary #criticalcare
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... #Hypotension #Management ... #criticalcare #
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... Hypoxemia #Dyspnea #Management ... #criticalcare #
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Management? ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
fail” low flow oxygen ... support #COVID19 #management ... #schema #criticalcare
Algorithm for Acute ED Management of Excited Delirium 

Pearls for Appropriate Restraint:
- 1 person for each
Algorithm for Acute ED Management ... non-rebreather with oxygen ... as a spit mask ... to ensure 100% oxygen ... Delirium #Algorithm #Management