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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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... permeability, lung ... with decreased lung ... overload with heart failure ... #CriticalCare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... , allowing for lung ... #ECMO #Basics #management ... #pulmonary #criticalcare
COVID-19 Chest CT - Case 4

Main aspects of the image: multiple opacities in the glass and
at times with a nodular ... periphery of two lungs ... CTChest #Clinical #CriticalCare ... #GroundGlass #CoronaVirus
β–Ί
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
patients with COVID lung ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
useful to allow for lung-protective ... use conventional lung-protective ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Severe Heart Failure ... Cardiogenic Shock - Management ... 1 β€” Treat the lungs ... (no B-lines on ultrasound ... HeartFailure #Cardiology #Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... acute respiratory failure ... Chronic respiratory failure ... #indications #criticalcare ... #management
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
β€’ PUMP FAILURE ... function of native lung ... or membrane lung ... #differential #management ... #criticalcare
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Chest X-ray and lung ... ultrasound (exclude ... other lung disease ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
risk of renal failure ... Point of Care Ultrasound ... of CO2 to the lungs ... testing #diagnosis #criticalcare ... comparison #challenges #management