ML_Acon's profile picture. Memento Audere Semper Emergenciológo del Hospital San Juan de Dios Fellowship POCUS Apasionado del POCUS y la cocina

Man Lung Acón Fernández

@ML_Acon

Memento Audere Semper Emergenciológo del Hospital San Juan de Dios Fellowship POCUS Apasionado del POCUS y la cocina

Man Lung Acón Fernández reposted
OACerebro's tweet image. Enjoy! 

researchgate.net/profile/Arumug…

Man Lung Acón Fernández reposted

Updated ankle block video 🔗 with Anatomy pearl 🦵 : There are two tibial arteries (anterior & posterior)… but only one tibial nerve youtu.be/2Z6JkHKkAbY?si…

anesthesiadocmd's tweet image. Updated ankle block video 🔗 with Anatomy pearl 🦵 :
There are two tibial arteries (anterior & posterior)…
but only one tibial nerve

youtu.be/2Z6JkHKkAbY?si…
anesthesiadocmd's tweet image. Updated ankle block video 🔗 with Anatomy pearl 🦵 :
There are two tibial arteries (anterior & posterior)…
but only one tibial nerve

youtu.be/2Z6JkHKkAbY?si…
anesthesiadocmd's tweet image. Updated ankle block video 🔗 with Anatomy pearl 🦵 :
There are two tibial arteries (anterior & posterior)…
but only one tibial nerve

youtu.be/2Z6JkHKkAbY?si…

Man Lung Acón Fernández reposted

Testicular ultrasound (USG) is the imaging modality of choice for evaluating scrotal pain, swelling, masses, and vascular abnormalities. For educational purposes only. #TesticularUSG #ScrotalUltrasound #UltrasoundImaging #Radiologysimolifide #Andrology

mznljrdy47597's tweet image. Testicular ultrasound (USG) is the imaging modality of choice for evaluating scrotal pain, swelling, masses, and vascular abnormalities. 
For educational purposes only.
#TesticularUSG #ScrotalUltrasound #UltrasoundImaging #Radiologysimolifide #Andrology

Man Lung Acón Fernández reposted

¿Importa cada cuánto das hidrocortisona en el choque séptico? Estudio retrospectivo (n=138) comparó: 50 mg c/6 h vs 100 mg c/12 h (200 mg/día en ambos). 1️⃣Resultado primario Tiempo a resolución del choque: sin diferencia Sub-HR 0.95 (IC 95% 0.59–1.54) 💀Mortalidad UCI: HR 1.59…

RafaelReyes_MD's tweet image. ¿Importa cada cuánto das hidrocortisona en el choque séptico?

Estudio retrospectivo (n=138) comparó:
50 mg c/6 h vs 100 mg c/12 h (200 mg/día en ambos).

1️⃣Resultado primario Tiempo a resolución del choque: sin diferencia
Sub-HR 0.95 (IC 95% 0.59–1.54)

💀Mortalidad UCI: HR 1.59…

Man Lung Acón Fernández reposted

Washing viruses out of your nose and throat can help you get better faster In an RCT of 66 adults, hypertonic saline nasal irrigation and gargling: 1) Cut cold duration by 22% (1.9 days shorter) 2) Reduced household transmission by 35%

BrandonLuuMD's tweet image. Washing viruses out of your nose and throat can help you get better faster

In an RCT of 66 adults, hypertonic saline nasal irrigation and gargling:
1) Cut cold duration by 22% (1.9 days shorter)
2) Reduced household transmission by 35%

Man Lung Acón Fernández reposted
OACerebro's tweet image. ENjoy!

books.google.com.pe/books?id=ZVO0D…

Man Lung Acón Fernández reposted

(1/x) Normotensive shock is common yet often missed because there are actually multiple phenotypes to consider👇

ross_prager's tweet image. (1/x) Normotensive shock is common yet often missed because there are actually multiple phenotypes to consider👇

Man Lung Acón Fernández reposted

Right ventricular dilation can easily be screened for in multiple cardiac views. This can be done both qualitatively, by visually inspecting the relative size of the right ventricle compared to the left, and quantitatively, by measuring it. #medtwitter #cardiotwitter #foamed

pocusmeded's tweet image. Right ventricular dilation can easily be screened for in multiple cardiac views. This can be done both qualitatively, by visually inspecting the relative size of the right ventricle compared to the left, and quantitatively, by measuring it.

#medtwitter #cardiotwitter #foamed

Man Lung Acón Fernández reposted

For all the new medical students starting this fall there are 10 lessons they don’t teach in medical school (but should) @ross_prager thesgem.com/2025/06/sgem-x… @SchulichMedDent @WesternU

TheSGEM's tweet image. For all the new medical students starting this fall there are 10 lessons they don’t teach in medical school (but should) @ross_prager 

thesgem.com/2025/06/sgem-x… 

@SchulichMedDent @WesternU

Man Lung Acón Fernández reposted

Redo🧵regarding 'straightening the wire' during central line placement. There are a few of my 🧵worth repeating for each group of new interns; IMO this is definitely one of them. If you do a lot of central lines, this technique will come in handy over and over again. (1/ )


Man Lung Acón Fernández reposted

Transcranial #Doppler in the Emergency Department: A Clinical Application and Quick Reference (I like this orientation pic 👇compared to the traditional skull-based illustration) 🔗 acep.org/emultrasound/n… #POCUS #FOAMed #TCD

NephroP's tweet image. Transcranial #Doppler in the Emergency Department: A Clinical Application and Quick Reference 
(I like this orientation pic 👇compared to the traditional skull-based illustration)
🔗 acep.org/emultrasound/n…
#POCUS #FOAMed #TCD

Man Lung Acón Fernández reposted

🩺 Auscultar no es tan fácil como parece. Muchos médicos solo reconocen el soplo sistólico... y poco más. Hoy te explico con sonidos reales cómo hacer una buena auscultación cardíaca ✅ Prepara los auriculares 🧵👇

CardioNotion's tweet image. 🩺 Auscultar no es tan fácil como parece.

Muchos médicos solo reconocen el soplo sistólico... y poco más.

Hoy te explico con sonidos reales cómo hacer una buena auscultación cardíaca ✅

Prepara los auriculares 🧵👇

Man Lung Acón Fernández reposted

Let's not forget OMI. annemergmed.com/article/S0196-…

KostekMilan's tweet image. Let's not forget OMI.
annemergmed.com/article/S0196-…

Man Lung Acón Fernández reposted

ICU Hemodynamic Secrets – The role of ScvO2: There is not such a thing as a “normal” cardiac output (CO). A CO of 3.5 l/min may be adequate for a 90 years’ old, 100 pounds sedated patient but inadequate for a 40 years’ old, 250 pounds patient with septic ARDS. Ideally,


Man Lung Acón Fernández reposted

ICU Hemodynamics Secrets: Did you ever manage a patient when the upper arm was inaccessible for noninvasive oscillometric measurements of blood pressure (BP), & the cuff was placed on the lower leg? This study evaluated the impact of patient position on lower leg BP measurement

IM_Crit_'s tweet image. ICU Hemodynamics Secrets:

Did you ever manage a patient when the upper arm was inaccessible for noninvasive oscillometric measurements of blood pressure (BP), & the cuff was placed on the lower leg?

This study evaluated the impact of patient position
on lower leg BP measurement

Man Lung Acón Fernández reposted

🫘Hepatorenal Syndrome @InternAtWork

JasmineNephro's tweet image. 🫘Hepatorenal Syndrome

@InternAtWork

Man Lung Acón Fernández reposted

Estimados amigos Imagenólogos y técnicos radiólogos, la Lesión Renal Aguda por Contraste NO EXISTE desde hace décadas, favor de No negar los estudios contrastados ni pedir Cr sérico obligatoria o firma de algún incauto responsable. Al contrario, se asocia a menor mortalidad de…

OrlandoRPN's tweet image. Estimados amigos Imagenólogos y técnicos radiólogos, la Lesión Renal Aguda por Contraste NO EXISTE desde hace décadas, favor de No negar los estudios contrastados ni pedir Cr sérico obligatoria o firma de algún incauto responsable. Al contrario, se asocia a menor mortalidad de…

Man Lung Acón Fernández reposted

🚨 2024 Corticosteroid Guidelines Update! 🌐 Sepsis: 1️⃣ Suggest corticosteroids in septic shock (low certainty) 💉 2️⃣ Strongly against high-dose, short-term use (>400 mg/day) 💉 ARDS: 3️⃣ Suggest corticosteroids for critically ill adults 💡 (moderate certainty) Severe CAP: 4️⃣…

Srivatsa34's tweet image. 🚨 2024 Corticosteroid Guidelines Update! 🌐

Sepsis:
1️⃣ Suggest corticosteroids in septic shock (low certainty) 💉
2️⃣ Strongly against high-dose, short-term use (>400 mg/day) 💉

ARDS:
3️⃣ Suggest corticosteroids for critically ill adults 💡 (moderate certainty)

Severe CAP:
4️⃣…

Man Lung Acón Fernández reposted

Hi, ER Doc here. RT if you’ve ever done CPR on someone and they survived. Trying to prove something.


Ver tanta gente entrando a la especialidad médica me llena de nostalgia. Uno no sabe en lo que se va a meter pero vale la pena. ¡Recuerden ese momento de felicidad cuando entraron cada vez que se sientan a punto de tirar la toalla! ¡Pa’ delante que esto es solo el principio!


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