gcoreag's profile picture. Medicina de Emergencias

Gabriel Corea

@gcoreag

Medicina de Emergencias

Gabriel Corea reposted

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

TheSGEM's tweet image. Emergency Medicine is #1 for burnout at 63% and 10% greater than any other specialty :(
medscape.com/slideshow/2024… 
@ACEPNow @CAEP_Docs @NightShiftMD @picardonhealth


Gabriel Corea reposted

Antibiotics that penetrate the CSF @MIDCUSA #medtwitter

BrownJHM's tweet image. Antibiotics that penetrate the CSF @MIDCUSA #medtwitter

Gabriel Corea reposted

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)


Gabriel Corea reposted

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

Core_EM's tweet image. 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

Gabriel Corea reposted

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

Core_EM's tweet image. 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

Gabriel Corea reposted

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

Core_EM's tweet image. 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

Gabriel Corea reposted

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…

YukiKotani5's tweet image. 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…


Gabriel Corea reposted

A creative way of remembering chemotherapy side effects and toxicities #meded #MedTwitter #oncology

Innov_Medicine's tweet image. A creative way of remembering chemotherapy side effects and toxicities
#meded #MedTwitter #oncology

Gabriel Corea reposted

A great tool to differentiate and diagnose many spinal cord diseases.

OGdukeneurosurg's tweet image. A great tool to differentiate and diagnose many spinal cord diseases.

Gabriel Corea reposted

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


Gabriel Corea reposted

A great teaching slide to perfect your knowledge of neck anatomy.

OGdukeneurosurg's tweet image. A great teaching slide to perfect your knowledge of neck anatomy.

Gabriel Corea reposted

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??

smithECGBlog's tweet image. 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??
smithECGBlog's tweet image. 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??

Gabriel Corea reposted

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

walinjom's tweet image. 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 &amp;lt; 0.25

- No reciprocal ST depression to suggest Occlusion MI
walinjom's tweet image. 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 &amp;lt; 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:

LaViaAerea's tweet image. 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


Gabriel Corea reposted

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.



Gabriel Corea reposted

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.😅

CarlosJosRomer3's tweet image. 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.😅
CarlosJosRomer3's tweet image. 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.😅

Great position about #resucitology with @SaraCrager, thanks a lot!!! @EmergenciasUCR

gcoreag's tweet image. Great position about #resucitology with @SaraCrager, thanks a lot!!! @EmergenciasUCR

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