🇪🇨 MD @uees_ec | Internal Medicine PGY-2 @imdartmouth | coffee enthusiast ☕️ | interested in PCCM | my opinions are my own
Joined January 2010
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Claudia Castillo Zambrano retweeted
I like teaching high-achieving students, but my favorite students are the overwhelmed, anxious, average to below-average learners who doubt themselves. Medicine doesn’t need doctors steeped in self-doubt. My favorite compliment you is: "You helped me believe I could do it."
Claudia Castillo Zambrano retweeted
. @FH_Verbrugge says, pulse pressure is cheap man’s 🦢
Great talk on #heartfailure - #HR2025 Hospitalist side
Claudia Castillo Zambrano retweeted
🔍 New Study: Initial fluid resuscitation with lactated Ringer’s solution, compared with 0.9% saline, might be linked to improved outcomes in patients with sepsis-induced hypotension.
➡️ Read the research from CCM: bit.ly/4dtWCrL
#sepsis #SCCM #CritCareMed @SCCM
Claudia Castillo Zambrano retweeted
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I still vividly remember what it was like to be an intern — the fear and uncertainty of stepping into the role of “doctor” for the first time. So I drew this comic series to reflect on things I’d tell a younger version of myself (patient story generalized for confidentiality)
Claudia Castillo Zambrano retweeted
ICU Hemodynamic Secrets – The role of ScvO2:
There is not such a thing as a “normal” cardiac output (CO). A CO of 3.5 l/min may be adequate for a 90 years’ old, 100 pounds sedated patient but inadequate for a 40 years’ old, 250 pounds patient with septic ARDS. Ideally,
Claudia Castillo Zambrano retweeted
This JAMA Clinical Guidelines Synopsis summarizes the 2024 Society of Critical Care Medicine guidelines on use of corticosteroids in sepsis, acute respiratory distress syndrome, and community-acquired pneumonia.
ja.ma/4hL4Kou
Claudia Castillo Zambrano retweeted
There is a lot of buzz about our new paper in Nature Medicine on the effects of LLMs (GPT-4) on physician management reasoning! I had TONS of fun working on this -- but what it MEANS requires some unpacking.
A 🧵⬇️
xitter.cf/EricTopol/status/18871…
A randomized trial of GPT-4 vs 92 physicians with or without this #AI LLM for performance on patient care tasks.
AI improved physician performance, on par with AI alone (based on 5 clinical vignettes) nature.com/articles/s41591-0… @NatureMedicine @AdamRodmanMD @jonc101x
Claudia Castillo Zambrano retweeted
The amount of delusion I have putting on sunscreen everyday as a resident. This skin does not see the light of day.
Claudia Castillo Zambrano retweeted
A Rational Approach to the Treatment of Acute Pulmonary Embolism
CCR Journal Watch
criticalcarereviews.com/late…
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/news…
Claudia Castillo Zambrano retweeted
There should be a medical tv show but it’s about a resident on call at night, and it’s esthetically themed like a film noir
Claudia Castillo Zambrano retweeted
I had a med student once ask “will rounds always take so long?” after we finished at 11am. I truly hope they’re now thriving in the surgical subspecialty of their choice.
Claudia Castillo Zambrano retweeted
Intravenous vasopressor infusions are amongst the most common pharmaceuticals we use in critical care medicine - 1 in every 4 patients admitted to ICU receive them.
Are “oral pressors” here to replace them?
🧵Read below for our take on available evidence and the ongoing pursuit that is to reduce the burden of IV vasopressors 👇🏼
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Claudia Castillo Zambrano retweeted
◾️In memory of Prof L Gattinoni, towering figure in ICM, profoundly shaping understanding of #ARDS & #ECMO. The “father" of prone position revolutionized MV with a pioneering "baby lung” concept. His legacy will guide/inspire for generations to come.
🔗esicm.org/obituary-luciano-g…
