Gabriel Corea
@gcoreag
Medicina de Emergencias
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Algo esperable, que invita a los administradores a entender que la dinámica de los servicios de emergencias y el estado de sus colabores no es igual al de otras partes del complejo hospitalario . Cuida a tu personal para que ellos cuiden de tu paciente @CCSSdeCostaRica
Emergency Medicine is #1 for burnout at 63% and 10% greater than any other specialty :( medscape.com/slideshow/2024… @ACEPNow @CAEP_Docs @NightShiftMD @picardonhealth
A patient with hx of depression came with confusion, diarrhea, diaphoresis. He takes fluoxetine, fluconazole & tramadol at home. Vitals w/⬆️BP, HR,⬆️⬆️temp. Labs w/AKI, ⬆️CK. What is the excess neurotransmitter & diagnosis? #Medtwitter (David Juurlink)
Ever have a patient in shock but you can’t explain why? Remember to keep THIS in your differential. Thanks Dr. Rachel Bubly for the reminder. Check the thread for a deeper dive into Adrenal Crisis. 🧵 1/3 #FOAMed #Medtwitter
So you’ve intubated an asthmatic.. 😰😬 It’s not ideal, but sometimes it has to be done. Now let’s make sure you remember your goals and strategies with the most important part of this, the mechanical ventilation. Thanks Dr. Desai, for the tips. #MedTwitter #FOAMed #asthma
There are three phases to treating hyperkalemia. Do you remember them all? Check out our treat sheet, brought to you by Dr. Sarangi. #MedTwitter #FOAMed #EmergencyMedicine #NYU
IMO if propofol is your most common induction agent in the ICU, you are inducing people wrong.
Peri-intubation #cardiovascular collapse in #ICU Propofol ➡️the most common induction agent (41%) ➡️associated with collapse (OR, 1.28 [1.05–1.57]). 👉Avoiding propofol may reduce cardiovascular collapse in the peri-intubation period in ICU. 🔗atsjournals.org/doi/epdf/10.11…
A creative way of remembering chemotherapy side effects and toxicities #meded #MedTwitter #oncology
A great tool to differentiate and diagnose many spinal cord diseases.
A toda aquella persona que labore en emergencias estamos creando un nuevo proyecto de educación médica continua Nación Emergencias @nacion_emerg Los invitamos a seguirnos en las distintas plataformas, interactuar con nosotros y finalmente aprender juntos
A great teaching slide to perfect your knowledge of neck anatomy.
Does a single troponin below the 99th percentile URL rule out Acute MI if constant chest pain has been very prolonged at the time of ED presentation? hqmeded-ecg.blogspot.com/2022/05/does-s… ECG 1: Day 1, patient sent home ECG 2: Day 2, patient presents in cardiogenic shock What happened??
Benign Early Repolarisation: - Widespread concave ST elevation, most prominent in the mid-to-left precordial leads (V2-5) - Notching or slurring at the J point - ST elevation : T wave height ratio in V6 < 0.25 - No reciprocal ST depression to suggest Occlusion MI
Como todo, hay que entrenarse. NO es hacer laringoscopía directa con el videolaringoscopio
Los videolaringoscopios nos brindan una excelente visión de la glotis, PERO eso no garantiza la intubación exitosa. Existen 3 reglas clínicas que ayudan a elevar las probabilidades de éxito al primer intento:
Que basura de persona Rodrigo Chaves, ¿cómo alguien normaliza el acoso así no más? #DebateTN7
Lo de hoy, ¿qué tanta hiperbilirrubinemia puede haber en la colestasis inducida por sepsis?
Semántica en EKG , anatomía vs electrodos
Let’s ignite a new discussion on these last two cases. In ECG terminology we have two different coordinate systems: One based on the heart, the other based on the positions of the leads on the chest wall. We unintentionally intermix these and this creates confusion.
Nunca pensé que usaría carnitina junto a carbapenémicos para manejar una encefalopatía, pero sirvió. Bueno, también le puse un poco de bicarbonato por la amplitud de esa R en avR.😅
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