TocDoc

Encuentra doctores, dentistas y especialistas cerca de ti y reserva tu cita gratis. Lee las opiniones de pacientes, consultorios donde atienden, seguros y más.

[TocDoc @TocDoc_mx]

@IhabFathiSulima :O

[TocDoc @TocDoc_mx]

@DR__MEDICINE :O

[Dr Abdul Hameed 🩺 @drabdulhameed07]

Which drug is used to treat sickle cell anemia?

A. Hydroxyurea
B. Warfarin
C. Aspirin
D. Clopidogrel

[CardiovascularCorner @TrackYourHeart]

The most common site of myocardial infarction is:
A. Anterior wall
B. Interventricular septum
C. Posterior wall
D. Inferior wall

[Anatomia FacMed @AnatomiaUnam]

1️⃣¿Sabes cómo es que tu cuerpo logra transportar información de tu cerebro al resto de tu cuerpo y viceversa?

Esto es gracias a la médula espinal y su composición, primeramente vamos a ver su estructura ¡Acompáñanos a descubrirlo en este nuevo hilo!
#Neuroanatomía

[ENARM ⚡ Intensivo 💯👨🏻‍⚕️🩺📚🔬 @ENARM_intensivo]

💢CANALES QUE INTERVIENEN EN LA EXCITABILIDAD CARDÍACA Y EN LA GENERACIÓN DEL POTENCIAL DE ACCIÓN CARDÍACO

#ENARM_INTENSIVO #ESTUDIA_MEDICINA

[TocDoc @TocDoc_mx]

@ENARM_intensivo 😮

[TocDoc @TocDoc_mx]

@TrackYourHeart 😮

[TocDoc @TocDoc_mx]

@Doctors__squad 😮

[Medical Science ✍️ @Med_Bytes]

What is the most common adverse effect of oxytocin administration?
A. Hypertension
B. Nausea
C. Uterine hyperstimulation
D. Fever
E. Headache

[SAGE MEDICAL⚕️ @Sage_medics]

If you are asked to pick a book here, which will you go first?????

[CardiovascularCorner @TrackYourHeart]

Cardiac anatomy in the long-axis view.

[Dr.Marlon Villanueva™ 🩺 𝕏 @MarlonVFZR]

💉🧠 𝐑𝐀𝐒𝐒 + 𝐅𝐀́𝐑𝐌𝐀𝐂𝐎𝐒💊
⬇️⬇️⬇️⬇️

🎯 𝐌𝐞𝐭𝐚:
👉 RASS −1 a −2 😴

⚔️ 𝐑𝐀𝐒𝐒 𝐏𝐎𝐒𝐈𝐓𝐈𝐕𝐎 (𝐚𝐠𝐢𝐭𝐚𝐜𝐢𝐨́𝐧)

👉 problema = dolor, ansiedad, delirium, hipoxia

💊 Analgesia primero
•Fentanilo 💉
•Morfina 💊

💊 Sedación
•Dexmedetomidina 🧠 (delirium-friendly)
•Midazolam ⚡
•Ketamina 🚀 (shock/broncoespasmo)

⚖️ 𝐑𝐀𝐒𝐒 𝟎 / −𝟏 (𝐬𝐞𝐝𝐚𝐜𝐢𝐨́𝐧 𝐥𝐢��𝐞𝐫𝐚)

👉 objetivo Actual

💊 Preferidos
•Dexmedetomidina 🌿
•Propofol 🧪

✅ Ventajas
•↓ delirium 🧠
•↑ destete 🫁

😴 𝐑𝐀𝐒𝐒 −𝟐 / −𝟑 (𝐬𝐞𝐝𝐚𝐜𝐢𝐨́𝐧 𝐦𝐨𝐝𝐞𝐫𝐚𝐝𝐚)

👉 VM invasiva

💊 Fármacos
•Propofol 🧪
•Midazolam ⚡
•Fentanilo 💉

⚠️ Riesgos
•delirium 🧠
•acumulación ⏳

🧊 𝐑𝐀𝐒𝐒 −𝟒 / −𝟓 (𝐬𝐞𝐝𝐚𝐜𝐢𝐨́𝐧 𝐩𝐫𝐨𝐟𝐮𝐧𝐝𝐚)

👉 SDRA, hipoxemia severa, status epiléptico

💊 Fármacos
•Propofol 🧪⬆️
•Midazolam ⚡⬆️
•Ketamina 🚀
•Bloqueo neuromuscular 💥 (rocuronio/cisatracurio)

⚠️ Riesgos
•hipoventilación 🫁
•hipotensión 💉
•miopatía 💪

🧠 𝐂𝐥𝐚𝐯𝐞𝐬

👉 Analgesia ➝ Sedación ➝ Bloqueo
💡 “Pain first” 🩸

⚡ 𝐑𝐞𝐬𝐮𝐦𝐞𝐧 𝐞𝐱𝐩𝐫𝐞𝐬𝐬

🧠 Dexmedetomidina → sedación cooperativa
🧪 Propofol → sedación controlable
⚡ Midazolam → rescate / convulsión
🚀 Ketamina → shock / broncoespasmo
💉 Fentanilo → analgesia base

👇🏼👇🏼👇🏼👇🏼
📚📖#ClubCrit

#RASS #Sedantes #Farmacologia #Pharmacology #MedTwitter #CritCare #UCI #ICU #CriticalCare #Diagnóstico #icu #intensivecare #diagnosis #management #POCUS #MedicinaBasadaEnEvidencia #Terapia #MedEd #Medicina #FOAMed #FOAMcc #CuidadoCrítico #MedX #EducaciónMédica #MedIntensiva #MedXCommunity #MedicinaCrítica #MedED #CritCare #ICUManagement #MustRead #LecturaRecomendada

[CardiovascularCorner @TrackYourHeart]

Cyanotic Congenital heart defects
Credit: @medics_AbuSaif

[Zafar Mirzo @zafarmirzo]

Why Wars Emerged — and Why They May Disappear
And this is not a utopia.
Could we have survived without wars?
Theoretically — yes.
In practice — almost impossible.
The conditions for a world without violence never fully came together on Earth. Humanity was held back by chronic resource scarcity, biologically ingrained aggression, and rigid hierarchies of power. History was not “evil” — it was a history of survival under conditions of pervasive scarcity of almost everything.
Wars were not an inevitable law of nature, but became the historical consequence of three fundamental factors.
1. Scarcity.
When land, food, and security were insufficient, a neighbor’s victory often meant your demise. Under such conditions, conflict was not a moral choice, but a response to an existential threat.
2. Biology.
Evolution entrenched aggression as a protective survival mechanism. What helped individual groups persist in a dangerous environment eventually became a source of destruction between them.
3. Power.
Early states turned the struggle for survival into an instrument of politics. Violence was institutionalized and placed in the service of governance, expansion, and control.
Thus wars became a persistent element of human history — not because humanity is “doomed” to violence, but because for a long time no other way out simply existed.
Yet today, conditions are beginning to change radically.
We are entering an era in which the historical causes of war are gradually losing their determining force.
Technology is creating an abundance of energy and resources.
The global economy makes cooperation more profitable than any plunder.
Education reduces vulnerability to manipulation.
Biotechnology softens biological impulses.
Artificial intelligence increases the transparency of the world, stripping aggression of its anonymity.
Space exploration opens up scales against which wars over a patch of land appear increasingly absurd.
But the most important change is occurring not outside us, but within.
Humanity increasingly values human life as the highest value. A humanistic worldview is taking root, in which destruction is no longer seen as an “acceptable price” for ideas, borders, or power. Empathy is expanding, the notion of equal human dignity is strengthening, and war is ever more often recognized not as valor, but as a tragic failure of civilization — technological, moral, and intellectual.
What once seemed an almost inevitable law of nature may, in the future, be seen as a gross error.
An error for which there is no justification.
War is not destiny.
It is a stage that humanity can outgrow.

[Dr Honey choudhary 🩺 @Doctors__squad]

FEVER MEDICINES

[ICOMEM @Icomem_Oficial]

El ICOMEM lamenta profundamente el #fallecimiento de Jesús Saldaña, médico cardiólogo, colegiado en Madrid, víctima del trágico #AccidenteFerroviarioAdamuz
Nuestro más sentido pésame a su familia, amigos y compañeros del Hospital La Paz
Descanse en paz.
https://t.co/hlqJYQKfu1

[TocDoc @TocDoc_mx]

@ENARM_intensivo :O

[ENARM ⚡ Intensivo 💯👨🏻‍⚕️🩺📚🔬 @ENARM_intensivo]

📌TIPOS COMUNES DE DEMENCIA

#ENARM_INTENSIVO #ESTUDIA_MEDICINA

[TocDoc @TocDoc_mx]

@doctors_squad :O