Nikolas Martinez
@paramedoc.bsky.social
First-year medical student at Michigan State COM
Paramedic
Michigan transplant, but Massachusetts is where I call home.
Paramedic
Michigan transplant, but Massachusetts is where I call home.
Reposted by Nikolas Martinez
Palliative Care (PC) is integral to HF care, but there is little information on how it can be incorporated into comprehensive HF care.
Check out the @HFSA Consensus Statement on PC in HF for a practical guide for clinicians caring for these complex patients.
🔗 bit.ly/4fJNz6e
Check out the @HFSA Consensus Statement on PC in HF for a practical guide for clinicians caring for these complex patients.
🔗 bit.ly/4fJNz6e
November 26, 2024 at 4:56 PM
Palliative Care (PC) is integral to HF care, but there is little information on how it can be incorporated into comprehensive HF care.
Check out the @HFSA Consensus Statement on PC in HF for a practical guide for clinicians caring for these complex patients.
🔗 bit.ly/4fJNz6e
Check out the @HFSA Consensus Statement on PC in HF for a practical guide for clinicians caring for these complex patients.
🔗 bit.ly/4fJNz6e
Reposted by Nikolas Martinez
important thread 👇
{norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock
this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics
for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC
{norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock
this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics
for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC
If the LV of the patient with sepsis is «hyperdynamic» when on noradrenaline, then EF dropps and the LV looks poorly when vasopressin is added, but recovers to normal with dobutamine, you likely haven’t «uncovered hidden LV dysfunction» or septic cardiomyopathy. #emimcc #pocus #echofirst 1/
November 30, 2024 at 2:25 PM
important thread 👇
{norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock
this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics
for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC
{norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock
this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics
for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC