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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17 results
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Framework and Management ... Alveolar Hemorrhage, Lung ... : 1) Indications ... Intubation 2) Bad Lung ... #pulmonary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... Pt is DNI with indication ... intrathoracic procedure ... #criticalcare # ... management
Asymptomatic Bacteriuria - IDSA Indications for Treatment
Healthy non-pregnant women - NO
Healthy pregnant women - YES
Functionally impaired
Bacteriuria - IDSA Indications ... the community or long-term ... NO Endourologic procedure ... Bacteriuria #IDSA #Indications ... #Treatment #management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
use conventional lung-protective ... positioning β€’ Exact indication ... VV-ECMO β€’ indicatons ... support #COVID19 #management ... #schema #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
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
Medications & pre-planned ... Procedure β€’ Most ... Post-procedure ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Chest Tube Placement Checklist
PREPARATION
 o Consent
 o Position Patient
 o Monitoring
 o Time Out
 o Review
ensure that the lung ... ChestTube #Checklist #Procedure ... #Management #CriticalCare
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
De-nitrogenation o Push medications ... POST INTUBATION MANAGEMENT ... intubation #checklist #criticalcare ... #airway #management ... #procedure
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
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
scenario / sedation indication ... moderate sedation for procedures ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management