¡La fotografía obligada! ¡Si se pudo! @CTOMedicinaES @VictorQuirosG @Pilar_CTO @RaulCTO @opo_MIReando #2MIR18

ARISE FLUIDS: Vasopressors or Fluids in Early Septic Shock ca. 2026 from @NEJM #Nephpearls #AKIinICU 📌 No significant difference in days alive and out of the hospital 🏥 at day 90 between the 2 groups ⚠️But pulmonary edema 🫁 was significantly lower in the restricted fluids group (0.6% vs. 5.0%) 👉 pubmed.ncbi.nlm.nih.gov/4227…

Hepatic vein Doppler. S>D or S<D? Answer the poll below honestly and then see the image with EKG. #POCUS #VExUS #Nephpearls

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#POCUS #Nephpearls #FOAMed Modified #VExUS incorporating femoral vein Doppler (based on Joyal et al., PMID: 41931445). This approach essentially replaces intrarenal Doppler with the femoral vein stasis index and introduces a few additional modifications, including incorporation of IVC collapsibility and defining severe hepatic vein abnormality as either S-wave absence (i.e., S/D = 0) or S-wave reversal (i.e., S/D <0).

1/10 🚨 Excited to share our new multicenter study in CKJ. doi.org/10.1093/ckj/sfag080 What if “urgent-start PD” is actually… too slow? 👀 We found that many patients can safely start peritoneal dialysis within HOURS of catheter placement, not days. 🇲🇽🩺 a thread 🧵

Didn’t match in Cards? Did Crit Care freeze you out? Is that hospitalist job looking little too intellectually bankrupt? Don’t get mad, become a nephron! We have a spot in the July 2026 class that would fulfill dreams you didn’t;t know you had! DMs are open (Please RT)

Which patients should be on SGLT2 inhibitors (SGLT2i) ⁉️ ✅ Check out the SGLT2i Cold 🥶 Map from @ISNeducation @ISNkidneycare #KidneyWk #Nephpearls 👉🏼 theisn.org/initiatives/toolk…

Simultaneous publication in JAMA! jamanetwork.com/journals/jam…

Here's a video I made breaking down the resuscitation of a 50-year-old man who went into cardiac arrest due to #Hyperkalemia #FOAMed

I highly recommend this! Being mentored by amazing Nephrologists in creating visual abstracts, discussing relevant clinical trials and discussing important topics in Nephrology by people who will support you in every step of the way!

El nuevo mundo de la enfermedad renal cronica.

Always a challenge to approach HypoNa This is helpful! 👏🏼

España es líder mundial en trasplante. El riñón es el órgano más trasplantado. Qué gran nivel de la Nefrologia española @SENefrologia @HUCA_Asturias @ERAkidney

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🎨The visual abstract made by @DrNikhilJ1 Tonight's #NephJC goes with an oldie but still goldie topic: RASi in advanced CKD ⏰ Same hour, 9 pm EST, this time on #NephSky nephjc.com/news/2024/12/16/r…

Is it ever too late to start RAS inhibitors in CKD? ✍️Summary by @oscarnephro 🦋Join us Dec 17th, 9 pm EST for #NephJC chat 1 on @bluesky #NephSky nephjc.com/news/aceing-ckd

Afraid of RASi on advanced CKD? Should we initiate ACEi and ARBs in stage 4 CKD? Is it safe? Is it worth the risk? Find the answers in this week’s #NephJC blogpost about the most recent meta-analysis on the subject. Spoiler: Keep Calm and Aceit! nephjc.com/news/aceing-ckd

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(1/10): Expert clinicians understand that not all decisions are equally important - focus on the ones that move the needle the most. Decision fatigue is real. Them more decisions we make, the worse the quality. In medicine, each patient has hundreds of decisions about their care that need to be made every day. Expert clinicians focus on the few decisions that are crucial for that patient, and try to delegate other decision. A great example in the ICU: the method by which potassium is routinely replaced (oral vs. IV) is much less important than a crucial decision to extubate vs. tracheostomize a patient. Save your mental energy for the tough decisions that really move the needle.