Christian Hernandez, MD

PGY-6 UCLA/USC/LAG trained | ‘21- @medicalcollege | @LMSA_Midwest 🇵🇷 🇲🇽ΛΘΦ-SP 12 @lambdas1975 | EM/Anesthesia/CCM | Sports Med / Combat Medicine

[Christian Hernandez, MD @El_DocChristian]

Today I received the news I’ve been offered a job in Los Angeles, CA with @UCLAEMRes as a resident physician 😭. Southside boy from Milwaukee never woulda imagined getting to this point. S/O to my other A1s who came through @sanbenito @maluma @JBALVIN #Match2021

[the EMCrit Crew @emcrit]

EMCrit Wee - The RSI Trial - Etomidate vs. Ketamine for RSI Induction in the critically ill. These results are practice changing for many resuscitationists! I know it will change my practice. Listen to this interview with lead authors:
@JonathanCaseyMD and @brian_driver
[#FOAMed for now!]

[Ashley Miller @icmteaching]

🧵 Albumin in Critical Care: 70 Years, 700 Papers… Zero Benefit

1/
Albumin is the most studied fluid in critical care.
Decades of trials. Endless meta-analyses.
And yet – not a single clinically meaningful benefit.

Here’s why the entire theory collapses once you understand Extended Starling. 👇

[IMCrit @IM_Crit_]

2. CVP (central venous pressure) is not a marker of “volume status” since it can be affected by non-volume related disorders (eg, tricuspid regurgitation/stenosis, pericardial pressure etc)

[Josh Guttman @drjgutt]

1/ Wild cardiac arrest with #POCUS playing a major role

An elderly male was sent from the nursing home in cardiac arrest. Per the prehospital report that we got, the patient was in vfib and refractory to 5 defib attempts. The patient got amio as well as several doses of epi.

[Milad Sharifpour, MD @MSharifpourMD]

Resident: “I’m so happy today is my last day of ICU ever”

Makes me sad that residents have lost interest in ICU. Learning physiology and learnimg to take care of critically ill patients will make you a better anesthesiologist

[Ross Prager @ross_prager]

(1/x) Intubating a critically ill patients is the most dangerous procedure we do in the ICU (3.1% cardiac arrest rate) not because of hypoxia or tube placement, but hemodynamic collapse 🫀

(Russotto et al. JAMA 2021)

A 🧵on making high risk hemodynamic intubations as safe as possible.

[Christian Hernandez, MD @El_DocChristian]

@OGdukeneurosurg I asked ChatGPT and…

[IMCrit @IM_Crit_]

#POCUS

The words we choose matter

This recently published collaborative scientific statement attempts to standardize the nomenclature in cardiac POCUS

[Sam Ghali, M.D. @EM_RESUS]

Here’s the CT Scan of a patient with a history of schizophrenia who presented to the ER with abdominal pain

What’s the diagnosis?

[IMCrit @IM_Crit_]

ICU - POCUS week:

Sudden desaturation - hemodynamic collapse - patient with COVID already on the ventilator:

R lung:

[Ron Barbosa MD FACS @rbarbosa91]

Similar to a prior 🧵regarding traumatic deaths in 'The Iliad':

Here I will examine the deaths in the movie 'Braveheart' to estimate how many of these might have been prevented if modern level 1 trauma centers and surgical care were available in Scotland at the time.
(1/)

[Christian Hernandez, MD @El_DocChristian]

@Troofhurts101 Too weak lol

[Christian Hernandez, MD @El_DocChristian]

#MedTwitter any AI programs you’ve used that been helpful for literature reviews & research curious to hear. Feel free to DM me 🌞

[Christian Hernandez, MD @El_DocChristian]

Very excited to be taking my training to the next level starting in Summer 2025 training at the Anesthesia Critical Care Fellowship program with @USCAnesCCM . Thankful to @MedicalCollege and @UCLAEMRes for an outstanding first 8 years of Med-Ed and Emergency training. #ICU #EM

[Christian Hernandez, MD @El_DocChristian]

@CorydonWW Lmfao let’s do it

[Critical Concepts @critconcepts]

By age 35, every critical care clinician should have six PowerPoint presentations about basic clinical topics with no animations, a set of scrubs stolen from a minimum of three hospitals, and an iPhone video of a SonoSite screen showing cardiac tamponade.

#medtwitter

[Christian Hernandez, MD @El_DocChristian]

@CorydonWW 🥺

[Christian Hernandez, MD @El_DocChristian]

@Troofhurts101

[Christian Hernandez, MD @El_DocChristian]

@wisconsin323 Cuando vas