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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Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... exacerbation (cardiogenic ... failure (ie OHS ... #indications #criticalcare ... #management
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
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory ... patients with COVID lung ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... , inflammatory lung ... permeability, lung ... overload with heart failure ... #CriticalCare
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
an artificial lung ... hypoxemia/mixed respiratorv ... failure used as ... overdose, massive PE, cardiogenic ... Oxygenation #diagnosis #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
General schema for respiratory ... Care @iBookCC #respiratory ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
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 ... (PPV) with the respiratory ... Point of Care Ultrasound ... testing #diagnosis #criticalcare ... comparison #challenges #management