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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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... 1 β€” Treat the lungs ... (no B-lines on ultrasound ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... High SVR: β€’ Cardiogenic ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
an artificial lung ... the artificial lung ... mixed respiratorv failure ... overdose, massive PE, cardiogenic ... Oxygenation #diagnosis #management
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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... exacerbation (cardiogenic ... acute respiratory failure ... #indications #criticalcare ... #management
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
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... myxedema, beriberi CARDIOGENIC ... vascular β†’ RV failure ... types #diagnosis #management ... #criticalcare #
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