Graciela Merinos

Especialista en Urgencias Médico Quirúrgicas “Hospital Dr. Manuel Gea González” Adscrita a Urgencias Hospital General de México

[Manu Malbrain @Manu_Malbrain]

Everything you need to know on the furosemide stress test ‼️in the ICU #ISICEM23 via @JohnProwle

▶️1mg/kg bolus furosemide IV
▶️Wait for 2 hours
▶️If UO > 200 ml, then the test = passed ✅
▶️and less risk for AKI
▶️and more kidney reserve

[Sepsis México 🇲🇽 @Sepsis_Mx]

Dra @Grace25mersan habla de #biomarcadores en #sepsis y su aplicación en #Urgencias, durante #CIMU2023 de @SMMEAC

[Jonathan Chávez @JonathanNefro]

En daño renal agudo, al ingreso a la UTI, un índice de PCR/albúmina serica >7.23 se asoció a ↑2 veces el riesgo de morir a un año

Hipótesis: reflejo de una intensa inflamación.

#ISNyoung

BMC Nephrology 2023
https://t.co/yAiBehLria

[Leonardo Soto Muñoz @LeonardoSotoMu]

Escalonamiento de vasopresores y corticoides en shock séptico:
https://t.co/tq4XVqLqaq
vía: @CritCareReviews

[Jonathan Chávez @JonathanNefro]

En urgencias por daño renal agudo, una tomografía contrastada intravenosa no se asoció a que persistiera su daño renal, ni a qué empeorará o que necesite diálisis.

Ya olvidémonos de la nefropatía por contraste

Intensive Care Med 2023
doi: 10.1007/s00134-022-06966-w.

[Intensive Care Medicine @yourICM]

☢️ IV contrast in patients #AKI? NOT associated with either persistent AKI at hospital discharge or initiation of dialysis. Current ACR-NKF consensus recommendations for use of IV CM in pts with stable renal disease may be applied if pre-existing AKI.
📎 https://t.co/Ys9ld3JH3U

[ApoThera - Clinical Decision Support - Mobile App @ApoThera]

1) Community Acquired Pneumonia (CAP)
https://t.co/2YumKj86pp
#MedTwitter #MedEd #IDTwitter #healthcare #primarycare #antibiotics #internalmedicine #Bioinformatics #ICU #USMLE #telehealth #EMTwitter #pneumonia #telemedicine #emergencymedicine #FOAMed #TwitteRx @Cigna #urgentcare

[Cole Blackburn @alifeundivided]

14 powerful visuals that will rewire your mindset:

1.

[Oren Gottfried, MD @OGdukeneurosurg]

As a surgeon you are a guest in human body and please preserve every plane like you found it.

[Edgardo Alania @Ed_Alania]

🔴 How to Treat Right Heart Failure. Tips for Clinicians in Everyday Practice #CardioEd #Cardiology #enarm #CardioTwitter

[Sepsis México 🇲🇽 @Sepsis_Mx]

📕#Publicación📕

Con la participación de @Grace25mersan, @deigoss y @ChatoGorordo de @Sepsis_Mx donde se exponen puntos clave para mejorar la atención de pacientes con #sepsis en #Urgencias

[ApoThera - Clinical Decision Support - Mobile App @ApoThera]

The Efficacy & Use of a Pocket Card Algorithm in Status Epilepticus Treatment Neurology Clinical Practice
https://t.co/0QeiG8NyQ1
#FOAMcc #neurologia #Neurotwitter #Neurology #MedTwitter #MedEd #ICU #Medstudent #epilepsy #medicalstudents #Bioinformatics #DiGiTALhealth #FOAMed

[ApoThera - Clinical Decision Support - Mobile App @ApoThera]

Hypoxemic Respiratory Failure
https://t.co/tmE6GiagYT
#ICU #clinic #MedTwitter #MedEd #FOAMcc #medstudents #Medstudent #CriticalCare #FOAMcc #healthcare #healthIT #pulmonologist #internalmedicine #DiGiTALhealth #TwitteRx #pulmonology #anesthesia #anesthesiology #Bioinformatics

[Syed Shahrul Naz @drshahrul80]

“The Efficacy & Use of a Pocket Card Algorithm in Status Epilepticus Treatment Neurology Clinical Practice”
#FOAMcc #neurologia #Neurotwitter #Neurology #MedTwitter #MedEd #ICU #Medstudent #epilepsy #medicalstudents #EMCCM #FOAMed https://t.co/52QJzpguoF

[Intensive Care Medicine @yourICM]

Infection or #sepsis at bedside:
🧫 how to use biomarkers? Serial determinations & never as stand-alone test: do not miss clinical evaluation
🧫 pathogen‑specific & host‑response biomarkers? useful to provide additional data to optimize care
🧫 future
🖇️ https://t.co/Z3Hgb2I6o1

[Leonardo Soto Muñoz @LeonardoSotoMu]

Fluido terapia en pancreatitis: algoritmo.
https://t.co/OUSpVXMtgZ

[ApoThera - Clinical Decision Support - Mobile App @ApoThera]

Hypernatremia
https://t.co/JEKGXsjSRx
#MedTwitter #MedEd #internalmedicine #MedStudentTwitter #medstudents #clinic #ICU #Bioinformatics #healthcare #HealthTech #technology #DiGiTALhealth #FOAMcc #Endotwitter #Cardiology #NephTwitter #medicalstudent #medicalstudents #pulmonology

[Leticia bravo Aldecoa 🧠 & ♥ @AldecoBravo]

Localizando un infarto e isquemia

[Dr. Antonio Gutiérrez💊📈🦠 @boticariors]

En @Nature le han preguntado a 11 investigadores de diferentes áreas de la medicina por ensayos clínicos prometedores para 2023, y lo han resumido en esta pieza.

Muy interesante
😊😊😊

🔗https://t.co/aF90piCZRq

[Syed Shahrul Naz @drshahrul80]

🎯🆕️ “Massive Hemorrhage 🩸🩸Protocol:
A Practical 🔆 Approach to the Bleeding Trauma Patient” ‼️. #2023. #EmedClinics
By @petrosoniak @EMedClinics
https://t.co/X61grUjuwk

#FOAMed #FOAMcc #EMCCM