Fernando Segura

Residente Medicina de Urgencias UDD

[Fernando Segura @fernandosgrv]

@juancarlossaid Q crack! Debería sacar un libro profesor!

[Fernando Segura @fernandosgrv]

@PragueArtist @culturaltutor @archaeologyart Planes departures from Santiago, Chile

[Fernando Segura @fernandosgrv]

Continuamos con Stoke #desafiosCAS @salvizu_MUE @sochimu @MUE_14 @michelereyhdez @nfpineda

[Fernando Segura @fernandosgrv]

Docencia en el Servicio de Urgencias con @salvizu_MUE en #DesafiosCAS @sochimu @Clinicaalemana @MUE_14 @emrap_tweets @nfpineda

[eMUE @MUE_14]

.@adolfobarraza Podemos tenerlo todo, pero si no funcionamos como equipo en la urgencia no llegamos ni damos la mejor atención a nuestro paciente!
#desafiosCAS #educarsalvavidas

[eMUE @MUE_14]

Hoy estaremos en @Clinicaalemana con Desafíos diarios!
Si quieres realizar preguntas o compartir algunos de los mensajes presentados, utiliza #DesafiosCAS
Nuestro equipo de RRSS las canalizará para poder contestarlas!
#educarsalvavidas

[Fernando Segura @fernandosgrv]

@RGEM82 @pelotazo Deportes Naval 2017

[Oscar Arias @OACerebro]

¿Cómo leer un metaanálisis?

Los resultados de un metaanálisis se organizan a través de un gráfico llamado Forest Plot (diagrama de bosque)

Generalmente, un Forest Plot se divide en seis columnas y los resultados individuales de cada estudio se disponen en filas sucesivas #Hilo

[Fernando Segura @fernandosgrv]

@juancarlossaid @a_transparente #Said2027

[Rodrigo Saavedra @R_SaavedraM]

Cuando la ficción de Bombo Fica supera la realidad #Pantallazos2021

[Don Milton @donmilton.bsky.social @Don_Milton]

Singer 3 meters (almost 10 feet) above the audience infected people sitting people below and behind him. *Strong* "Epidemiologic Evidence for Airborne Transmission of SARS-CoV-2" https://t.co/7o3ZVIBUB3

[Manrique Umana McDermott @umanamd]

“…equals a reaction”
(lateral therapeutic thoracentesis with a central venous catheter)
#EMcases #EMimages

[Mastery of Emergency Medicine @mastery_em]

AMAZING LECTURE 🌟🌟🌟🌟🌟🙏
YOU REALLY REALLY SHOULD WATCH

EEM 2019: Recent articles that changed Amal Mattu's practice https://t.co/ZxLjBxayRu via @YouTube

@amalmattu @EssentialsofEM @ELS_Emerg_Med @MedEdBot @SaudiEmergency @SEmergMed

[Salim R. Rezaie, MD @srrezaie]

Dexmedetomidine (Precedex):

Onset: 5 to 10min
Duration 1 to 2hr
Half-Life: 1.8 to 3.1hr

Cont Sedation:
Loading Dose 0.5 to 1mcg/kg over 10min
0.2 to 1.5mcg/kg/hr
Titrate q1hr

Potential Side Effects: Bradycardia & hypotension

#FOAMed #FOAMcc

[David Díaz Figueroa @David_DiazF]

Potencial de acción - Una manera diferente de recordar los electrolitos involucrados 🤔 #mueuss #chileem plátano 🧂🍌🦴

[Salim R. Rezaie, MD @srrezaie]

Bedside Management of Acute PE via Mae West

Massive PE:
-Don't flood pt with fluids
-Vasopressors: norepi + low dose vasopressin
-Inotropes: Dobutamine or milrinone
-Pulmonary vasodilators: Nebulized NTG or milrinone
-Avoid intubation if possible

#FOAMed #FOAMcc #HRreloaded

[Salim R. Rezaie, MD @srrezaie]

Fastest Way to Diagnose RV Dysfunction via Andre Denault

-Linear Probe
-Pulsatile venous doppler flow of CFV
-Increased pulsatility signifies increased rt atrial pressure
-No Femoral pulsatility ≠ Volume
-Femoral pulsatility ≠ Lasix

#FOAMed #FOAMcc #HRreloaded

[Salim R. Rezaie, MD @srrezaie]

Intubating the Patient in Profound Shock via @emcrit

Neutral intubation = Awake Intubation

#FOAMed #FOAMcc #HRreloaded

[Ken Milne MD @TheSGEM]

Common arguments on thrombosis in acute ischemic stroke by @georgemastoras from 2015. He has offered to update this table with the reanalysis of ECASS-3 by @BrianAlperMD failing to demonstrate superiority of tPA but confirming harm (bleeding). @CAEP_Docs
https://t.co/cVyV1MklMB

[Jailyn/Ben @coreultrasound]

It's been FIVE YEARS since I first recorded a 5MS video on central venous catheterization. Just in time for this time of year, check out the 2020 revamp that was peer reviewed by @ER_Dr_ummer!

https://t.co/MyRYIFP0k9

#FOAMed #FOAMus #MedEd