Dr Conejo EM 🐰
12K posts

Dr Conejo EM 🐰
@RGEM82
Urgenciologo | Intensivista | MPH | Epidemiólogo Toxicología | POCUS | Educación Médica |“La pelota ⚽️siempre al 🔟”
Santiago, Chile Katılım Eylül 2011
1.9K Takip Edilen1.2K Takipçiler
Dr Conejo EM 🐰 retweetledi

Advancing Cardiogenic Shock Management: Real-Time Classification & Trajectory Tracking
🗓 May 28 | ⏰ 12 PM ET
Join @JasonKatzMD and @WalterBSchiffer for a 60-min webinar on how real-time decision support tools are transforming cardiogenic shock care in the CICU.
Learn how high-frequency data can improve early detection, dynamic staging, and patient trajectory tracking—plus practical insights to enhance decision-making and documentation.
Sponsored by @etiometry🔗
Register: #Cardiology" target="_blank" rel="nofollow noopener">us06web.zoom.us/meeting/regist…
@CCCEnthusiasts @ElliottMillerMD @jameshorowitzmd @AnnGageMD
#CardiogenicShock #CriticalCare

English
Dr Conejo EM 🐰 retweetledi

Dear Med & Academic Twitter
Need your help in spreading the word about our latest OHCA study
This study aims to evaluate prehospital clinicians’ confidence in identifying underlying causes of OHCA, current treatment practices, team composition, and perceived barriers to improving patient outcomes.
We are looking for site champions from prehospital services across UK, Australia & New Zealand.
If you are interested please DM me

English
Dr Conejo EM 🐰 retweetledi

『ブジー挿管を介助者なしで行うための
④The Kiwi gripと⑤The Kiwi-D grip』
そもそも③のThe Shake gripがブジーの操作性に優れているとされ、それをしながら自分1人でブジー越しに挿管チューブを入れる方法として考案された
⑤は挿管チューブのマーフィー孔からブジーの手前の端を入れて固定


茨城の「墨子」に俺はなる!ひたちなかGIM:柴﨑俊一@sn1shibazaki
Xで目に止まったので、調べてみました。 Kiwi grip( or d-Grip Bougie)というブジーを使っての挿管(特に1人で挿管することを意図している?)の方法があるんですね。初めて知りました。 まぁ、賛否両論のようだし、 youtube.com/watch?v=BoTv2-… youtube.com/watch?v=kIn8UB… ルーティンにやる意義はないよう。 pmc.ncbi.nlm.nih.gov/articles/PMC11… ただ、気道管理はいろんな引き出しを持っておく必要があるので、ブジーを使っての挿管の際に、テクニックとして知っておく or どうしても人手が足りない時の挿管のテクニックとして知っておく必要はあるなと感じました。
日本語
Dr Conejo EM 🐰 retweetledi
Dr Conejo EM 🐰 retweetledi
Dr Conejo EM 🐰 retweetledi

Recomendaciones éticas para la investigación en inteligencia artificial del Comité Español de Ética de la Investigación (CEEI) universoabierto.org/2024/04/28/rec… a través de @jalonsoarevalo
Español
Dr Conejo EM 🐰 retweetledi

Este mes tenemos un gran invitado en la sesión académica este miércoles 29 de abril a las 8:00pm, con un tema muy interesante "Metas de Neuroprotección en Trauma Craneoencefálico Severo".
La sesión es GRATUITA solo regístrate en la siguiente liga:
forms.gle/jPN3EmEtXbr565…
.
#SICU #salvemosvidas #SalvemosVidas #cursos2026

Español

@InterestingSTEM This is amazing and now gag reflex? 😏
English
Dr Conejo EM 🐰 retweetledi
Dr Conejo EM 🐰 retweetledi
Dr Conejo EM 🐰 retweetledi

First real-world RCT shows a medication can reduce methamphetamine use:
A landmark study published in JAMA Psychiatry just changed the conversation around methamphetamine use disorder, a condition where we currently have ZERO FDA-approved medications.
Here’s what you need to know 👇
🧠 The Study
• Phase 3, double-blind, placebo-controlled RCT
• 344 adults with moderate to severe methamphetamine use disorder
• Conducted in real-world outpatient settings
• Intervention: Mirtazapine 30 mg daily for 12 weeks
📊 Key Findings
• Significant reduction in methamphetamine use vs placebo
• ~7 fewer days of use per month vs ~4.8 days in placebo
• Statistically significant difference (P = .02)
👉 Translation:
A simple oral antidepressant reduced stimulant use in a population where we’ve had no pharmacologic options.
⚠️ But not a magic bullet
• Effect size is modest
• High discontinuation rates (23%)
• Side effects: sedation, weight gain
• No major improvement in secondary outcomes like depression or QoL
💡 Why this matters
• Methamphetamine use disorder is rising globally
• Associated with psychosis, cardiovascular disease, violence, and mortality
• Estimated hundreds of thousands of deaths annually
• Still no approved medications till date
🔥 Big Clinical Takeaway
This study shows:
➡️ Pharmacotherapy can work in stimulant use disorder
➡️ Even modest reductions in use = meaningful real-world impact
➡️ Mirtazapine may target addiction pathways beyond just mood/sleep
🧩 My Perspective:
This is not the finish line, it’s the beginning of evidence-based pharmacotherapy for stimulants.
We’ve long relied almost entirely on psychosocial interventions for methamphetamine use.
Now we finally have Level 1 evidence pointing toward a scalable medication option.
📌 Expect:
• More trials
• Combination therapies
• Precision addiction psychiatry approaches
Bottom line:
No, mirtazapine is not a cure.
But for the first time, we can say:
“We have a medication that actually moves the needle.”


Goshen, NY 🇺🇸 English
Dr Conejo EM 🐰 retweetledi

𝗧𝗵𝗮𝘁'𝘀 𝘄𝗵𝗲𝗿𝗲 𝗧𝗵𝗲 𝗣𝗶𝘁𝘁 𝗚𝗼𝘁 𝗶𝘁 𝗥𝗶𝗴𝗵𝘁:
Emergency Medicine carries some of the highest rates of burnout, depression, and suicidal thoughts in all of medicine.
That’s what The Pitt got right. It didn’t glamorize the ER, it showed the reality.
There are countless “Dr Robbys” out there, showing up every shift, giving everything to their patients and their hospitals, while quietly fighting battles no one sees.
If you’re struggling, please reach out. You don’t have to carry it alone.
If you notice a colleague or friend slipping, check in. Sometimes a few words of genuine kindness can make all the difference.
📞 Call or text 988 for the Suicide & Crisis Lifeline
🚨 In an emergency, call 911




Goshen, NY 🇺🇸 English
Dr Conejo EM 🐰 retweetledi
Dr Conejo EM 🐰 retweetledi

Jueves de Artículo Clásico…
Fórmula para ajustar la paCO2 modificando el Ventilador Mecánico 🫁
Ventilación Minuto necesaria =
PaCO2 medida x Vent Min actual
———————————————
PaCO2 deseado
Si la Vent Min es = FR x Vt
Puedes modificar cualquiera de las 2 o ambos para lograr la paCO2 que deseas (la FR tendrá menor impacto dañino en ARDS o Neurocríticos, tal vez…)
Y funcionará siempre y cuando:
1) el px no haga ventilaciones espontáneas (sedado, por ej)
2) las condiciones metabólicas (producción de CO2) se mantengan estables
3) NO exista obstrucción en la vía aérea (ej, broncoespasmo)
link.springer.com/content/pdf/10…

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