Daniel Riveros

Terapia Intensiva H.O. 1
Terapia intensiva Neurologica INNNMVS
Terapia Intensiva Cardiólogica INCICH

[AMEVASC @AMEVASC1]

Dual antiplatelet therapy: common uses in Stroke Medicine 🧠🏥🩸

#Neuro
#Neurology
#Neurotwitter
#Stroke
1/🧵

[Lykke E. Andersen @lykkeeandersen]

Bolivia experienced alarming rates of deforestation during the 2016-2021 period. Even within Protected Areas, more than half a million hectares of forest were lost. This map shows the 25 PAs with the highest forest loss during 2016-2021. Solutions here: https://t.co/JAfDGahOh4

[Casey Albin, MD @caseyalbin]

1/
Just how much can ultrasonography reveal about the neurovascular health of the brain?

A whole freaking lot!!

A #ContinuumCase about a man with transient dizziness after doing heavy lifting in the yard. @ContinuumAAN @LyellJ

[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

[SONECOM @SONECOM_AC]

Artículo de la semana "¿Cuándo el taponamiento no es un diagnóstico ecocardiográfico? ¿Lo es alguna vez?" 🫀Lee el artículo completo en nuestro blog 🔗
https://t.co/jVJj0H2QSS
#echofirst #cardiology #cardiotwitter #sonecom #smc #ancam #SEIC #JACC #JASE #EACVI

[IMCrit @IM_Crit_]

ICU stories (another brief one): 80+ yo pt w diastolic CHF / HTN / mild-moderate aortic stenosis / OSA / morbid obesity (BMI: 55) presented to the ED w SOB for several days. Also felt that legs/waist were more swollen than typical. In the ED: BP 114/62, hr 104, rr 28, afebrile

[Gregorio Romero-González @Tubulocentric]

Assessing intravascular volume in ADH-dependent hyponatraemia is central to diagnosis and treatment. Linking clinical findings, serum, urinary biomarkers and echo is precision medicine. @EmiliSanAlv @ralcazara @bover_j @hgermanstrias @EchonousIberia @nefrocat @jmanriquees @NephroP @ArgaizR @POCUS_Duilio @TaotePOCUS @JonathanNefro @DraMarili

[Martin Liberman @libermanmartin]

Experimento. Designar un DT sin experiencia alguna para la gloriosa selección argentina.
50 meses después, es uno de los mejores DT del mundo. Que hago? Lo reconozco! No ahora! Hace 2 años! Impecable trabajo. Capaz, mesurado, inteligente. Notable. Capo @lioscaloni

[Aitor Uribarri @Auribarri]

▶️Estudio que responde a preguntas claras que todos tenemos en el día-día! Si no tienes claro que lo precise puedes esperar y ver.
Como crítica: de qué se mueren los pacientes?
Importancia estrategia de descarga de VI protocolizada BTR
Esperando #ECLS-SHOCK y #DANGERschock

[Eelco F.M.Wijdicks,MD,PhD @EWijdicks]

For intensivists who still “believe”
in Haldol -a reminder what it did and can do.

[Intensive Care Medicine @yourICM]

#Ultrasound & brain?? YES! Read
🧠Techniques/applications in/out #ICU
https://t.co/Ir66pXvISs
🧠 ONSD to estimate ICP SR/MA
https://t.co/WZTO0YD8F7
🧠 Basic #POCUS consensus
https://t.co/q3BpZ2Bu4M
🧠 Skills consensus
https://t.co/tWs9RLjasw
#FOAMus #LIVES2022 @chiara_robba

[Oscar Arias @OACerebro]

Guía para escribir un artículo de revisión #PRISMA

♾️ https://t.co/ON6ftEZHxI

[Prague ICU_Michal Pazdernik @PragueICU]

⚠️ Right heart catheterization video manual for all cardiologists and intensivists 👋
https://t.co/H4LRJi2x8v
#MedTwitter #Cardiotwitter @drmilicaa @Allan_Bohm @rafavidalperez @EchoSoliman

[Intensive Care Medicine @yourICM]

Extubation in neuro #ICU
🧠 assess neuro function stability
🧠 perform if minimal level of consciousness, upper airway secure, negative fluid balance
📃 elaborate multi-disciplinary local protocols, selecting criteria according to resources/expertise
🖇️ https://t.co/5tvpdkHcar

[ASN Kidney360 @ASNKidney360]

Over the past several years, POCUS has evolved as a valuable adjunct to physical examination, though it remains largely underutilized in nephrology. This Perspective discusses the application of POCUS in cirrhosis-associated AKI https://t.co/kHfRWGv2ON

[Oscar Arias @OACerebro]

¿No tiene idea de cómo escribir un artículo científico?

¡No se preocupe; este artículo lo llevará de la mano!

♾️ https://t.co/pOm75gkoOL

[ICU OnePager @OnePagerICU]

Overview of continuous renal replacement therapy:
⬛ Modes: CVVH, CVVHDF, etc?
🟥Qb
🟦Qd
🟨dialysate
🟩replacement
🟧anticoagulant
⬜ dialyzer

This OnePager is great intro for people learning about how CRRT works & what the settings mean. #FOAM

https://t.co/FHkeLHfIRy

[ICU OnePager @OnePagerICU]

Interpreting acid/base physiology can be tricky. Here's the 4 step #ICUOnePager approach, including some useful mnemonics for
🟠metabolic alkalosis --> BLVD PLACE
🔵non-AG metabolic acidosis --> RAGES
🟣anion gap metabolic acidosis --> GOLDMARKeT

https://t.co/Ff7U5w9x5m

[RECAT👩🏽‍⚕️🏥👨🏽‍⚕️🇲🇽🫀 @LeslieMegom]

📚Interaccion↔️ cerebro-pulmón🫁🧠 y VM 🌀 pacientes daño cerebral aislado.
✔️La interaccion cerebro-pulmón involucra edema pulmonar neurogénico, inflamación, neurodegeneración, neurotransmisores, inmunosupresión y disfunción SNA
https://t.co/DaIdOdQRrv

https://t.co/5kXrkCQjuu

[ICU OnePager @OnePagerICU]

Tracheostomies are common but can be confusing if you are unfamiliar with them.

This ICU OnePager covers the basics of tracheostomies & how to troubleshoot the 3 most common emergencies: decannulation, obstruction, & bleeding. #TipsForNewDocs #FOAMcc

https://t.co/61G0pB8Sme