Virginia Zarama

Passionate about Emergency Medicine, Ultrasound and Critical Care Echocardiography

[60 Minutes @60Minutes]

Colombia is home to about 2,000 bird species, more than anywhere else on Earth. Decades of conflict kept people out of many areas, preserving the birds’ habitat. Now birders are flocking in. @AndersonCooper reports, Sunday. https://t.co/mEN4CWeXMW

[Esteban Piedrahita 🇺🇦 @estebanpie]

Anoche murió mi adorado papá, tras sufrir un infarto hace 3 semanas cuando regresaba de un viaje de “pajareo” en la remota Hokkaido japonesa, que disfrutó a plenitud. Como un pequeño homenaje comparto algunas de las fotos de las grullas, águilas y búhos maravillosos que vio.

[AnnalsofEM @AnnalsofEM]

Clinical deterioration is an underappreciated risk of ED boarding.
In a multi-center study of >173,000 admissions, nearly 1 in 25 ED boarders admitted to the floor experienced early clinical deterioration requiring an admission to an advanced level of care, with almost half occurring before leaving the ED. Each additional hour of boarding was independently associated with an increased risk of deterioration, and deterioration carried substantially higher 28-day mortality.
Identifying high-risk patients early may prevent avoidable escalations in care and patient harm. 

#EDBoarding #PatientSafety #EmergencyMedicine #EM #HealthPolicy #SocialMedicine

[Iván Duque 🇨🇴 @IvanDuque]

La batalla de ideas es legítima en democracia, pero no cuando se contamina con propaganda financiada desde el poder.

Episodio completo en @Spotify
https://t.co/c2Aa7AXRDS

[Cristina Vélez @CristinaVelezV]

Hace mucho tiempo no sentía esperanza real por un hecho político en Colombia. Gracias por sembrar esperanza @PalomaValenciaL y @JDOviedoAr.

[Nick Mark MD @nickmmark]

JAMA finally caught up with what’s been standard of care use of POCUS for the last 10+ years.

[Circulation @CircAHA]

2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/ SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults
https://t.co/iAxNQtYgVh

[The BMJ @bmj_latest]

Colombia’s bungled reforms show why healthcare systems must be shielded from politics
https://t.co/xoM8P1qAVO

[MEDICOS DE COLOMBIA @PROMEDICOS]

Artículo del BMJ (British Medical Journal). “Como los políticos destruyeron el sistema de salud de Colombia”

[Daniel Samper Ospina @DanielSamperO]

Buen resumen de @lucaspom:

[Josh Farkas MD 💊 @PulmCrit]

neurosurg: WHAT IS THE GCS?

me:

[JAMA @JAMA_current]

📊 Research Summary: Personalized resuscitation targeting capillary refill time modestly improved organ support–free days and composite outcomes in early septic shock, but showed no difference in mortality vs usual care.

#LIVES2025 @ESICM

https://t.co/HT2pxrAT3F

[Developing EM @developingem]

https://t.co/536s0ADIct

Join us in Saint Lucia for DevelopingEM 2026
November 14-18, 2026.
#DevEM2026

[Ross Prager @ross_prager]

(1/x) Andromeda-Shock 2 was just published in JAMA and is the most important septic shock trial in the past DECADE.

They found that phenotyped resuscitation improves the composite outcome of mortality, vital support, and hospital LOS.

Here's how you can apply this protocol to your practice 👇

[ERC - European Resuscitation Council @ERC_resus]

👏 The Wait is over
🚀 The 'ERC 2025 Cardio Pulmonary Resuscitation Guidelines' is Released.
🫀 Click the link to know more
👉 https://t.co/bYVaIUtWJU
#ERC #CPR #Guidelines2025 #ERCGuidelines #savelives #RESUS25

[Virginia Zarama @VirginiaZarama]

@EM_RESUS What did the bedside echo showed…?

[MA Garcia Fernandez @MAecocardio]

Importante documento de consenso sobre el uso de la ecocardiografia en Emergencias cardiovasculares y críticos

https://t.co/SmUvI02dAs
@josejgdnews @ImagenCardiaca @AnestesiaR @anestesiaHCSC @chileanestesia @anestesiavalen

[The Heart @ZHeart11768530]

🔴2025 ASE "Guidelines for Performing Ultrasound-Guided Vascular Cannulation: Recommendations !" ⤵️

🔹 https://t.co/DDJ9EzyLXY
#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX

[The BMJ @bmj_latest]

This article is the first in a series describing the fundamental points that authors of systematic reviews, health technology assessment reports, and clinical practice guidelines need to use the Core GRADE approach
https://t.co/rzV7gJl35l

[Gordon H. Guyatt @GuyattGH]

As previous post, #EBM has a breakthrough! #GRADE has become too complex and disorganized. Solution in 7 papers on GRADE essentials “Core GRADE” in #BMJ, introduced this week. Here link is to a two minute video summarizing the introductory paper.
https://t.co/4yPg2pXSRp