Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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covid19 clinical coronavirus ctchest diagnosis sarscov2 algorithm checklist hypoxia respiratory support ards differential ecmo pulmonary acute basics blockade bpap cardiogenic
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” 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 • Typically set at
General schema for ... use conventional lung-protective ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
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 ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
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
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 Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Severe Heart Failure ... Cardiogenic Shock - Management ... 1 — 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
• PUMP FAILURE ... function of native lung ... or membrane lung ... #differential #management ... #criticalcare
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
- Myocardial ischemia ... - Severe renal failure ... #Hypokalemia #Management ... #CriticalCare
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