Eva Tovar Hirashima MD MPH

EM, POCUS/UPA, Prehospital in Mexico, US-Mexico

[Eva Tovar Hirashima MD MPH @EvaTH_EM]

Muy buen resumen gráfico/escrito de bloqueos guiados por US para fracturas de cadera en donde soy coautora 🤓😎. Revisen y compartan! Sigamos @UPAndo6!! 🎇🎆
@upadelnorte @californiaacep @WINFOCUS @SAEMonline @ACEP_EUS @Dr_Insonando

https://t.co/PXHwq3fmpd

[UPAndo @UPAndo6]

Visita nuestra página, suscríbete...encontrarás contenido de libre acceso UPA/POCUS creado por expertxs q tienen ❤️🧡💛💚💜💙

[POCUS Journal @POCUSJournal]

Teaching RLQ pain in young women? Make it SHARP, a high-risk differential that demands a structured approach.

The SHARP Exam is a POCUS-based protocol targeting:

S - Ovarian torsion
H - Hydronephrosis
A - Appendicitis
R - RUQ free fluid
P - Pregnancy

A practical framework that mirrors eFAST and RUSH, but for RLQ pain.

Learn the protocol here: https://t.co/dlC5OqChUg

#MedEd #FOAMus #POCUS #UltrasoundEducation #EMEducation

[JAMA @JAMA_current]

H-1B visa–sponsored physicians are twice as prevalent in rural counties and nearly 4 times as common in high-poverty areas, highlighting the potential harm of rising visa costs to health care access.

https://t.co/dtCf8oj8BJ

[NEJM @NEJM]

𝗣𝗿𝗲𝗽𝗮𝗿𝗶𝗻𝗴 𝗧𝗿𝗮𝗶𝗻𝗲𝗲𝘀 𝗳𝗼𝗿 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗨𝗻𝗰𝗲𝗿𝘁𝗮𝗶𝗻𝘁𝘆

Uncertainty is ubiquitous in medical practice yet is often viewed as a regrettable phenomenon to be tolerated or eradicated. To prepare trainees for practice, teachers need to reframe uncertainty as a central feature of how clinical problems are understood and managed.

Clinicians may go to great lengths to reduce uncertainty, often perceiving it as a threat or source of stress. Multiple cultural forces in medicine reinforce this tendency. Physicians receive extensive training in the biomedical sciences, which are grounded in fixed characterizations and clear classifications. Early medical training comprises case-based discussions and standardized tests that use logical causal pathways to arrive at singular correct answers. Clinical training and practice perpetuate this orientation, with peers, teachers, and patients often reacting negatively to uncertainty or equating it with incompetence. Structural elements in the workplace, such as the electronic medical record and billing platforms, require unambiguous characterizations of illnesses or treatments, even when clinical problems remain ill-defined.

An aversion to uncertainty can induce subconscious efforts to hide, suppress, or minimize it during daily clinical work. Yet uncertainty cannot be eradicated from clinical practice, even as its frontier shifts with advances in technology and treatments. This unyielding reality requires teachers to frame uncertainty not as an undesirable by-product of clinical reasoning but rather as a central feature of it.

A new review focuses on the ways in which clinicians recognize and manage in-the-moment experiences of uncertainty in practice and provides practical strategies that teachers can use to help trainees build confidence in managing uncertainty.

Read the Review Article “Educational Strategies to Prepare Trainees for Clinical Uncertainty,” the latest in the Medical Education series, by Jonathan S. Ilgen, MD, PhD, and Gurpreet Dhaliwal, MD, from @UW, @UCSF, and @SFVAMC: https://t.co/sTJoEXBiaN

[Hatem Soliman Aboumarie, FRCP, FEACVI, FASE, FHEA @EchoSoliman]

Delighted to share the final typeset version of the 1st Joint EACVI/ACVC/@EACTAIC Expert Consensus on Cardiac Ultrasound in Cardiovascular Emergency & Critical Care — now the most-read article in EHJ–CV Imaging! 🫀
#EACVI #EchoFirst #POCUS #CriticalCare

Open access 👇

https://t.co/BFg0xe9f8k

[POCUS Med Ed @pocusmeded]

The figures in The #POCUS Textbook are designed to be easily understood with no abbreviations. Each one has a QR code that provides access to a free video with a detailed explanation and video clip examples.

No annoying passwords. No annoying paywalls.

#foamed #meded #medtwitter #cardiotwitter

[Dra. Stefy @DamarisFany]

Médica residente pierde la vida en guardia del IMSS en Guadalajara

Nicole Stark Carrillo, de 27 años, apenas comenzaba su carrera como médica residente de anestesiología. El pasado 16 de septiembre entró a una guardia en la Clínica 46 del IMSS, en Guadalajara… y ya no regresó a casa.

De acuerdo con testimonios de sus compañeros, en pleno quirófano se desvaneció. En lugar de recibir atención médica inmediata, fue enviada a descansar. Horas más tarde, la hallaron sin signos vitales en su guardia.

La autopsia señaló asfixia por causa indeterminada, aunque sus familiares no aceptan la versión oficial y exigen una investigación exhaustiva. En contraste, el IMSS sostiene que sí recibió atención y que colabora con la Fiscalía de Jalisco para esclarecer lo ocurrido.

El caso de Nicole ha generado indignación y muchas más preguntas que respuestas, dejando en la comunidad médica un profundo llamado a revisar las condiciones de trabajo en las guardias hospitalarias.

[Eva Tovar Hirashima MD MPH @EvaTH_EM]

@Dr_Insonando @upadelnorte @ACCinTouch Felicidades!!! Super merecido!!

[Alex_RG @Dr_Insonando]

@UPAndo6

[Alex_RG @Dr_Insonando]

El HGT en ACC LATAM 2025. En los tiempos donde la tecnología avanza, no debemos dejar atrás la clínica que es el pilar de esta hermosa profesión, el UPA es otro aliado en la exploración física. #Endocarditis #INSONA
@upadelnorte @upandolatinoamerica @ACCinTouch @EvaTH_EM

[NYSORA @NYSORA]

Supraclavicular brachial plexus block — 1-2-3 approach

Perfect for ORIF of a midshaft humerus fracture:

- Linear probe above clavicle
- 10 mL in corner pocket
- 10 mL between upper & middle trunks

Learn it step-by-step in the NYSORA Nerve Blocks App: https://t.co/u3jFeBf4Fl

[AbdAllah Othman @CardioBeat_]

https://t.co/T7FVaFq7p0
Posterior Wall STEMI: Essential Clinical Summary🚨
· LCx (most common) or PDA (RCA-dominant)
📈 ECG :
· ST depression V1–V3 → anterior mirror
· ST elevation ≥0.5mm in V7–V9 → confirmatory
#Cardiology #STEMI #CathLab #EKG #HeartAttack #MedEd

[Ahmed Mohsen @drahmedmohsen85]

What do you think?

[La Silla Rota @lasillarota]

Esperanza Hernández, trabajadora del hogar, comienza sus días a las 4 de la mañana en Los Reyes La Paz. Para llegar a Coyoacán, donde limpia casas, enfrenta un trayecto de hasta tres horas y media en transporte público. Antes vivía en Tlalpan, a 15 minutos de sus empleos, pero la subida en su renta la obligó a mudarse a la periferia. 🧵👇

[Eduardo R Argaiz @ArgaizR]

Honored to have put together a full #VExUS curriculum.
If you're into Venous Doppler, I think you’ll really enjoy it — especially the case studies! 👀

https://t.co/IoCot5ns4W

[Kiran Rikhraj @KiranRikhraj]

Back to basics! I am starting a new series of videos focusing on mastering basic #POCUS concepts. Starting off with honing your ability to obtain the 4 basic cardiac views and steps on how to obtain additional/advanced views. Please give it a watch:

https://t.co/87FYb8VroJ

[Grupo Fórmula @Radio_Formula]

🚫😡 #Indignante | Una mujer fue captada insultando a un agente de la @SSC_CDMX en La Condesa, solo porque le iban a poner el candado a su Mercedes por no pagar parquímetro 🚓🚫

👮‍♂️ El oficial aguantó los insultos con dignidad, mientras ella lo vejaba con comentarios racistas y clasistas que indignan a cualquiera.

#Racismo #Indignante #LaCondesa #CDMX #Respeto #NoAlRacismo

[Carlos Jiménez @c4jimenez]

"QUIERES Q TE ROMPA TU MADRE? …YO ESTOY LOCA”
Son más imágenes de la argentina-mexicana Ximena P, mientras insulta una y otra vez a al agente Carlos de @SSC_CDMX en @RomaCondesa
Ella y sus hijos comenzaron a ofenderlo xq les iba a poner inmovilizador por no pagar parquímetro.

[A L e 𝕏 @l0rdAlexX]

La #LadyRacista

En IG // En c4jimenez