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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... 1 β€” Treat the lungs ... (no B-lines on ultrasound ... #HeartFailure #Cardiology ... #Management
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
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
Based on the images alone, it is usually not possible to determine the cause of the
congestive heart failure ... in fact this is nodular ... interstitial lung ... Clinical #Diagnosis #Radiology