Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration ... pressure supports the work ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... patient's diagnosis (e.g ... -BiPAP should never ... #Management #CriticalCare ... #BiPAP #BiLevel
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Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and mortality BPAP ... both EPAP and IPAP ... status โ€ข Won't Work ... #indications #criticalcare ... #management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 โ€ข Vitals: โ†‘HR โ†‘RR โ†“SpO2
 โ€ข High work
โ†“SpO2 โ€ข High work ... with increased work ... Prednisone โ€ข NIPPV: BiPAP ... #Exacerbation #CriticalCare ... ventilation #mechanical #management
Massive Hemoptysis - Diagnosis and Management
 โ€ข Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... โ€ข Workup โ€ข General ... #treatment #workup ... #pulmonary #criticalcare
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... early HFNC or BiPAP ... oral secretions (e.g ... MyastheniaGravis #Checklist #Management ... #CriticalCare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 โ€ข Standard PPE
   โ€ข N95 or PAPR.
dose paralytic (e.g ... Stuff โ€ข Video ... include: โ€ข BiPร…P ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 โ€ข Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... and Management ... Echinocandins (e.g ... venous line, it should ... Additional metastatic workup
Shock - Diagnosis and Management Summary
 โ€ข Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... #Summary #criticalcare ... #treatment #workup
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
heart failure should ... objective assessmentโ€œ (e.g ... cardiogram) should ... Management โ— Early ... #CriticalCare