Paula Carmona

[Philippe Rola @ThinkingCC]

👍🤯

[Muhammad Smiry 🇵🇸 @MuhammadSmiry]

Respect to this woman. #Gaza

[Insuficiencia Cardiaca y Trasplante @IC_LaFe]

El 4 de octubre celebraremos en el Hospital La Fe la II Jornada de Innovación Cardio-Renal de la ciudad de Valencia. Grandes expertos en la materia 🥇🥇
En breve emitiremos el programa definitivo. Inscripciones en: https://t.co/v4B68Pfuw5

[korbinhaycockmd @khaycock2]

This is a collection of some of the thinkers that will influence our understanding of shock for 20 years into the future. Don’t miss it.

[RECAT👩🏽‍⚕️🏥👨🏽‍⚕️🇲🇽🫀 @LeslieMegom]

⚠️↪️Administración de líquidos💦💧 para la disfunción circulatoria aguda mediante monitorización básica⚠️ hipotensión y shock NO son sinónimos 🫀‼️ hilo🧵🧶
https://t.co/QH5z4CuKyk
💧💧💧💧💧
https://t.co/QAWIEJ5N2u

[Hatem Soliman Aboumarie, FRCP, FEACVI, FASE, FHEA @EchoSoliman]

Very honoured to be part of this important document. The 1st EACVI expert consensus document on lung ultrasound in acute and chronic heart failure. Thanks @LunaGargani for your leadership and to the amazing team of experts for the great work! #echofirst #LUS #POCUS

[FILOSOFÍA&CO @_filco]

«Los límites de mi lenguaje significan los límites de mi mundo».

🪶Wittgenstein, en el «Tractatus» (5.6).

[Intensive Care Medicine @yourICM]

Fulminant myocarditis in #ICU
🫀short/long‑term prognosis
🫀clinical suspicion, initial recognition, differential diagnoses
🫀initial management & temporary #MCS: IABP #ECMO #Impella
🫀endomyocardial biopsy
🫀immunomodulatory therapies
🔓#FOAMcc @yourICM
🖇️https://t.co/JIGm4p0tv5

[Eduardo R Argaiz @ArgaizR]

👴 w Cirrhosis ➡️🏥 with spontaneous bacterial peritonitis and septic shock

After fluid resuscitation, vasopressors and antibiotics shock resolved

However now with oliguria and ⬆️ Na (165 meq/L). Cr 1.0 mg/dl, BUN 30 mg/dl

1/10

[Lawrence Lynn @PatientStormDoc]

@ThinkingCC @DoctorDaxon @DrMiguelIbarra1 @EMNerd_ @khaycock2 If you have not seen it this is a great video from Tobin and @sgdambrauskas. Finally someone with the courage to argue against the ARDS dogma/protocols and for physiology based, ventilator care.

https://t.co/fj9jixTHDc

[Alfonso Valle @ValleAlfonso]

Defining Heart Failure Based on Imaging the Heart and Beyond via @radcliffeCARDIO

👉 Modern imaging methods enable congestion – both haemodynamic/vascular and in tissues – to be identified and quantified objectively.

📥 https://t.co/yMt2tPDv2c

[Michael I. Prats @PratsEM]

proposal to refer to repeat/serial trauma #POCUS as "intermittent FASTing"

[ICU Management @ICU_Management]

Intravenous fluids have traditionally been a routine #treatment for most critically ill patients. Now many severe #pathologies suggest a preference for conservative fluid therapy over liberal fluid administration.

https://t.co/oKSsIJAA1J

@OrlandoRPN @E_DeloyaMD @dreder_zamarron

[javier higueras @HiguerasJavier]

Correcto 😎

[Julio Mayol @juliomayol]

No faltan personas, falta tiempo de personas. Lo primero que hay que hacer para tener más médicos es evitar que se dediquen a hacer cosas inútiles o que no les son propias.
Dejemos de obligar a trabajar a los médicos en cosas que no son de médicos y en las que no producen valor.

[Alfonso Valle @ValleAlfonso]

⚠️Clinical phenotypes according to diuretic combination in acute #HF

👥1559 🏥AHF
👉according to the diuretic combination to discharge from the 🏥▶️ 🏘️:
1️⃣Loop diuretic
2️⃣=1️⃣+antialdosterone ± thiazides
3️⃣=2️⃣+ acetazolamide ± iSGLT2
4️⃣=2️⃣+ tolvaptan
5️⃣=3️⃣+ tolvaptan

👉↗️ previous 🏥 in groups 4️⃣/5️⃣
👉predominance 🫁 congestion in profiles 1️⃣&2️⃣ and systemic congestion in 3️⃣-5️⃣
👉Cr & CA125 ↗️ in 4️⃣/5️⃣
👉no differences in NT-proBNP
💡Diuretic therapy-defined 👥 showed difference in clinical characteristics @IC_LaFe @lualmenar @Rachel_Vilella &cia @SVCardio

[The ISHLT @ISHLT]

The new #ISHLT Guidelines for #MechanicalCirculatorySupport are available now in pre-press on @TheJHLT. This is a 10-year update of an essential document, including comprehensive info on a decade of intervening changes in #MCS and #LVAD management.
🔖: https://t.co/Yl0ZhUsSri

[Paula Carmona @paulayayu]

@Rachel_Vilella Enhorabuena!!!

[Raquel López Vilella @Rachel_Vilella]

Muchos meses de trabajo, pero ha tenido su recompensa!!
👏🏻👏🏻👏🏻

[Kshitij Chatterjee @chatterJ5]

Our "Applied Hemodynamics" sessions are now available

https://t.co/0yj3T9lTJy

Content includes a series of 5 roundtable discussions facilitated by experts in hemodynamics-- highlights applications of key pathophysiological principles at the bedside when managing shock 1/n