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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COVID-19 Diagnosis and Management Summary
Clinical and laboratory testing
Lung Ultrasound
HRCT scan
In-hospital treatment
Severity assessment and respiratory support 
Post-mortem
Diagnosis and Management ... laboratory testing Lung ... Ultrasound HRCT ... assessment and respiratory ... COVID19 #Diagnosis #Management
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

β€’  Timing - within one week of
Treating ARDS - Acute Respiratory ... Origin of Edema - respiratory ... failure not explained ... Syndrome #Diagnosis #Management ... #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... failure (ie.. asthma ... failure (ie OHS ... #indications #criticalcare ... #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
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
steroids & NMB β€’ Respiratory ... Diuresis β€” Dry lungs ... are happy lungs ... Algorithm #Extubation #CriticalCare ... #Management
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 ... Guidelines #respiratory ... 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
General schema for respiratory ... Care @iBookCC #respiratory ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Approach to Selecting Respiratory ... of noninvasive respiratory ... of noninvasive respiratory ... pneumonia vs. heart failure ... #Management #CriticalCare
β–Ί
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