Dr Seba Pizarro
@drsebapizarroMédico @samumetropolita y bombero @19_cbs. Miembro @SoToxChile y @NAEMSP.
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Femoral lines (clinical practice) paradox: ICU/ED world: Oh no, we shouldn't do it, femorals are SO dirty. If we place them, we remove them 3 ds later because we feel guilty & administrators yell ECMO world: let's put 2 huge cannulas in the groin & leave them there for 3 weeks
What's the best treatment for MSSA bacteremia in someone with penicillin allergy? Cefazolin (⭐NOT vancomycin!) Reasons: 1. Cefazolin has a unique R1 side chain and does not cross react with other beta-lactams 2. Vancomycin is proven inferior to beta-lactams for MSSA
🆕 Hypertension Classification New AHA 2024 guidelines have omitted ❌Hypertensive urgency ❌Hypertensive crisis ahajournals.org/doi/10.1161/HY…
Smoking 1 JOINT a day was linked to a long-term DECLINE IN LUNG FUNCTION similar to smoking 20 CIGARETTES a day in this study 🌿💨 STOP SMOKING WEED 🚫 🧵1/9
Before there was TCCC, there was… basically TCCC. Cards issued to non-medical personnel to perform SABA. Including the use of TQ. All this knowledge lost in the post-war era, when the focus became the nuclear threat. Imagine how many lives might have been saved.
This picture is from the aftermath of D-Day. In this picture, we see medics administering blood products in the field to a wounded Soldier. This picture sums up the Walker Dip. It took us decades to relearn the lessons learned on the battlefield of WWII, with nearly 1 million…
Paper alert! We (@yvomep, @elsebapizarro, @LuisMoyaHuallpa, and Baturalp Ozturk) just published a @SpringerNature perspective article in @NatureComms to provide a discussion on how engineers can protect human health and safety during and after earthquakes doi.org/10.1038/s41467…
Ceferino and colleagues propose an Earthquake Survival Chain in this new perspective. During earthquake disasters, engineering can help with search & rescue, patient mobilization, and medical treatment nature.com/articles/s4146…
We propose the Earthquake Survival Chain as a framework to change the current engineering focus on infrastructure to health. Open access on @NatureComms ! nature.com/articles/s4146…
Norepinephrine for Post ROSC. Norepinephrine may be the vasopressor of choice in post-OHCA shock management. youtube.com/shorts/rN4ROvK…
Having benefited from excellent mentors over the course of her career, a physician concludes that a true mentor is someone who has more imagination about you than you have about yourself. Read the full Perspective: nej.md/3SDFcPf
¡Atención motociclistas! ¡No te pierdas nuestra PROMO FLASH para tu Moto! soapbomberos.cl HASTA EL LUNES 25 DE MARZO A LAS 23:00HRS 📷#héroesdeverdad @bomberosdechile
RABECA #REBOA as bridge to #ECMO in cardiac arrest 🧠 to increase brain prefusion 🫀 to increase coronary prefusion 💉 to achieve higher adrenaline blood concentration with lower dosage 🩸to provide accurate BP monitoring during CPR (if arterial line available) 🩸to stimulate…
Malla profesional de la Academia Nacional de Bomberos: Completa!
We are thinking Aorta with @davidcarr333 It’s still a hard area to work in. The scores don’t work and so Osler is still correct today #uoftem24
You've probably heard that Bicarbonate has to turn into CO2 to raise the pH. “Don’t give bicarb if you can’t increase ventilation.” But how much CO2 is there in an amp of sodium bicarbonate? A bicarb 🧵 1/
Ten cognitive check points (general rules or heuristics to help guide my practice) I use in the ICU to help make sure I don't get too far off track. A thread🧵👇 1/10: Shock with a narrow pulse pressure (<30mmHg) needs an urgent #POCUS (or echo) to identify occult RV/LV…
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