Pierre Arbulú

Médico urgenciólogo. Emergengy physician #MUEUSS #POCUS #FOAMed #FOAMem #FOAMcc #FOAMUS #ChileEM

[REBEL EM @REBEL__EM]

🚨MDCalc Wars: HEART Score vs. EDACS
Both safely ID low-risk ACS pts when paired w/ hs-trop.
HEART = simple, EDACS = broader.
Which do you use?

📖 https://t.co/KFq7JCUcz4
🎙️ @Marco_Propersi @MRamzyDO @srrezaie @emswami
#FOAMed #Cardiology #EM

[CardiovascularCorner @TrackYourHeart]

Summary of the most important ECG cases
Source: @medics_AbuSaif

[Dr. Nikhil Agrawal @DrNikhilMD]

Acute SOB
One look at this X-ray.
What will you do?

[REBEL EM @REBEL__EM]

RENOVATE Trial: HFNC vs BPAP in ARF
📊 Did HFNC match BPAP in 5 respiratory failure subgroups?
✅ Non-inferior in 4/5
🧪 Bayesian dynamic borrowing = statistical edge
🚫 Futility in immunocompromised patients
Read more 👉 https://t.co/B5LWTWf5JC
#FOAMed #MedTwitter #REBELCrit

[theNNT.com @thenntgroup]

https://t.co/IBC6OIQsv8

[REBEL EM @REBEL__EM]

❄️ Winter is coming… and so are the pneumonia admits.
CURB-65, PSI/PORT, SMART-COP.
One guides admit vs discharge, another predicts mortality, and one spots who’s about to crash
New on @REBEL_EM 👉 https://t.co/rNQ1FFXGNE
#FOAMed #EM #Pneumonia #MedTwitter

[CardiovascularCorner @TrackYourHeart]

TP-segment downsloping on ECG strongly suggests:
A. Hyperkalemia
B. Acute pericarditis
C. Posterior MI
D. LV aneurysm

[theNNT.com @thenntgroup]

https://t.co/ExUez7J7fD

[M4D | MED FOR DUMMIES @Med4Dummiess_]

Si das dexametasona a TODOS los edemas cerebrales… te vas a meter en problemas 😅
🔥 Vasogénico → corticoide
💧 Citotóxico → manitol
🧂 Citotóxico por hiponatremia → salina 3%
La clave no es el fármaco… es identificar el tipo de edema.

[pocus.sg @pocus_today]

Focused Cardiac Ultrasound
#POCUS
#useit
@anaesthesiaNUHS @SGSocAnaes @echo_periop

[theNNT.com @thenntgroup]

https://t.co/IBC6OIQsv8

[CardiovascularCorner @TrackYourHeart]

Which of the following antiarrhythmic drugs is most strongly associated with QT prolongation and risk of torsades de pointes?
A. Lidocaine
B. Amiodarone
C. Procainamide
D. Adenosine

[CardiovascularCorner @TrackYourHeart]

Verapamil is contraindicated in VT because:
A) It causes bronchospasm
B) It increases myocardial oxygen demand
C) It slows AV nodal conduction without affecting ventricular focus
D) It stimulates sympathetic activity

[CardiovascularCorner @TrackYourHeart]

An ECG shows ST elevation in precordial leads with a “smiley-shaped” upward concavity and no reciprocal ST depression. Which condition is most consistent with these findings?
A) Brugada Syndrome
B) Hyperacute MI
C) Benign Early Repolarisation
D) Left Ventricular Hypertrophy

[theNNT.com @thenntgroup]

https://t.co/GHgrpH282S

[theNNT.com @thenntgroup]

https://t.co/iTl7iZwj6r

[theNNT.com @thenntgroup]

COVID numbers are rising. Please protect your patients against ineffective, possibly harmful medications.
https://t.co/U62H9VkOZ4

[Stephen W. Smith @smithECGBlog]

65 year old with chest pain during dialysis

https://t.co/VormIoGR4M

@ECGcases

[Dr. Andreas Roeschl @ecgandrhythmRoe]

This nice ECG was sent to me. What`s going on?
Elderly man with chest pain.

[Robert Herman, MD, PhD @RobertHermanMD]

Your night shift starts with a 53-year-old diaphoretic male presenting with chest pain radiating to the left shoulder...

Is there anything concerning about this "Normal #ECG"? 🤔