Patricia Hernández, MD

EMPGY4 @EMRES_MGHBWH | @Penn Med 2022| @Princeton 2018 🐯| Passionate about teaching, ultrasound, crit care & health equity 🇩🇴

[Patricia Hernández, MD @drpatrihernan]

Emergency Medicine’s newest doctor — Patricia Hernández, MD

[Jay Yang @Jayyanginspires]

Beautiful reminder:

[SAEM @SAEMonline]

Congratulations to Nour Al Jalbout, MD, Christopher E. San Miguel, MD, MEd, and Mary R.C. Haas, MD, MHPE, on winning the Early Educator Award!

See all our #SAEM25 Award Winners: https://t.co/YGlF4Azame

[SAEM @SAEMonline]

Congratulations to Patricia Hernandez, MD, on winning the @SAEM_RAMS Resident Education and Innovation Award!

See all our #SAEM25 Award Winners: https://t.co/xElrIOwz7r

[Patricia Hernández, MD @drpatrihernan]

Officially accepted a spot to be a critical care fellow today and just so happened to walk into an unstable bradycardic patient needing a transvenous pacemaker. Got to place my first pacemaker and it was … awesomeeee😬 ♥️ 🤍 #critcare #EM #iloveithere #lifelonglearner

[HAEMR @EMRES_MGHBWH]

Welcome to our new class of interns! We can’t wait to see you soon. #HAEMRStrong

[Patricia Hernández, MD @drpatrihernan]

Quick turnaround ✈️ this AM but so glad to be here at the NE regional #LMSA conference… meeting so many awesome pre med and med students! Check out @MassGenBrigham @LmsaNational

[CardiovascularCorner @TrackYourHeart]

Mastering TEE Probe Manipulation & Positioning!

Transesophageal Echocardiography (TEE) is a powerful imaging technique, but proper probe control is essential for optimal cardiac visualization.

🔹 (1) Probe Manipulation – Understanding Movements
TEE probe movement is controlled via a handle with adjustable knobs:

✅ Transducer Rotation (Electronic Control):
🔄 Forward rotation (0° → 180°)
🔄 Backward rotation (180° → 0°)
This adjusts the transducer plane to obtain different imaging angles.

✅ Anteflexion & Retroflexion (Large Knob):
▶️ Anteflexion: The probe tip bends forward (toward anterior structures like the LVOT, mitral valve).
◀️ Retroflexion: The probe tip bends backward (helpful for imaging the LA, pulmonary veins, or deep transgastric views).

✅ Right & Left Flexion (Small Knob):
↪️ Right Flexion: The probe tip moves to the right, optimizing alignment with right heart structures.
↩️ Left Flexion: The probe tip moves to the left, improving views of left-sided heart structures.

✅ Advance & Withdraw:
⬆️ Advancing moves the probe deeper (toward the stomach for transgastric views).
⬇️ Withdrawing pulls the probe back (toward the upper esophagus for great vessel imaging).

🔹 (2) Esophageal Probe Positions
TEE imaging is performed from different locations along the esophagus and stomach to achieve various cardiac views:

📍 Upper Esophageal (UE):
🔹 High esophageal position (near the oropharynx)
🔹 Best for imaging the great vessels & aortic arch

📍 Mid-Esophageal (ME):
🔹 Most commonly used position
🔹 Offers multiple cross-sectional views of the atria, ventricles, valves, & aorta

📍 Transgastric (TG):
🔹 Probe advances into the stomach
🔹 Provides short-axis views of the left ventricle (LV)

📍 Deep Transgastric (DTG):
🔹 Further advancement into the stomach
🔹 Optimized Doppler alignment with the LVOT, aortic valve, & ascending aorta

TEE is both an art & science—refining probe manipulation improves diagnostic accuracy and procedural success!

Source: Catherine M. Otto, Textbook of Clinical Echocardiography
#Cardiology #TEE #Echocardiography #MedicalImaging

[Patricia Hernández, MD @drpatrihernan]

@FrannyFrans Thank you prima 🙏🏽🙂

[Patricia Hernández, MD @drpatrihernan]

Grateful for the opportunity to teach & learn with EM residents & fellows in DR! 🇩🇴 Had an amazing time leading a session on performing US guided peripheral nerve blocks and the use of AI. Excited to keep building bridges #GlobalHealth #POCUS #MedEd @EMRES_MGHBWH @harvardsono

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

Top 10 Important ICU Papers: Second Half of 2024
From the ICU papers published between July and December 2024, I have selected the top 10 key ones, including RCTs, guidelines, and narrative reviews.
I hope you like this list.

[Onyinyechi Eke MD, MPH @onyi_eke]

POCUS is widespread but its use is very variable. EM clinicians want more POCUS training and supervision. Tele-ultrasound can help. https://t.co/oKhNoQlDld @Kele_Umoga @justchristina @HamidShokoohiMD @aliteplo @JessicaHaberer #POCUS

[Patricia Hernández, MD @drpatrihernan]

Had a humbling reminder of why arm day matters today. Seemed like I was bagging a patient for hours… turns out it was only 5 minutes and boy were my arms burning💪😅 #EMLife #NotAsStrongAsIThought

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

Temporal Artery Ultrasound for the Diagnosis of Giant Cell Arteritis in the Emergency Department

https://t.co/PqWzE4z556

[LatinoSurgSociety @LatinoSurgery]

On #NationalLatinoPhysicianDay, we celebrate the strength and dedication of Latino doctors across the country. With only 6% of physicians in the U.S. being Latino, we must continue striving for greater representation in medicine. ¡Juntos Adelante! Let’s move forward together!

[Patricia Hernández, MD @drpatrihernan]

Join us @EMRES_MGHBWH tomorrow night at 8PM EST on zoom to get to know what our program is about and ask any questions ! 🔨🗣️

#ERAS #EMApplicant #Residency

[Patricia Hernández, MD @drpatrihernan]

@harvardsono @EMRES_MGHBWH @lachlandriverEM @Kele_Umoga @SAEMonline @SAEM_RAMS Thankful for awesome mentors ! @harvardsono @HamidShokoohiMD

[HARVARDSONO @harvardsono]

Our amazing @EMRES_MGHBWH residents @lachlandriverEM @Kele_Umoga Elizabeth Serunjogi, and @drpatrihernan rocking their #SAEM24 POCUS presentations! @SAEMonline @SAEM_RAMS

[Patricia Hernández, MD @drpatrihernan]

With SAEM elections closing on 2/23, I wanted to remind everyone to cast your vote before 4pm on 2/23!  

🌟 I learned immensely this past year serving as RAMs Member at large🌱

Check out the candidates running this year!
  https://t.co/wBFDrsd9Sv
#EM #SAEM #RAMS

[Patricia Hernández, MD @drpatrihernan]

Serving on the RAMs board has been one of the most rewarding experiences in residency so far!

[SAEM @SAEMonline]

Nominations for the RAMS Board are open! Not sure why you should apply or how to get involved? Learn about the benefits, opportunities, and more from some of our current RAMS Board members!

Nominate yourself or a colleague by November 10: https://t.co/vYlqo0ewTF

[SAEM @SAEMonline]

Nominations for the RAMS Board are open! Not sure why you should apply or how to get involved? Learn about the benefits, opportunities, and more from some of our current RAMS Board members!

Nominate yourself or a colleague by November 10: https://t.co/vYlqo0ewTF