Archive

Medical Category: Endocrine, Metabolic, Fluid, and Electrolytes

The CLASSIC Trial: IV Fluid Restriction in Septic Shock

Background: The Surviving Sepsis Campaign guidelines recommend an initial fixed volume of 30mL/kg of IDEAL body weight within the first 3 hours of resuscitation (weak recommendation, low-quality evidence). [2].  Additionally, the Surviving Sepsis Campaign Guidelines state there is insufficient evidence …

Read More
Endocrine, Metabolic, Fluid, and ElectrolytesInfectious DiseaseResuscitation

REBEL Core Cast – Basics of EM – Mega Summary – Part 2

Take Home Points Emergency medicine revolves around the differential diagnosis History and physical exam should significantly narrow your differential diagnosis Have an idea of what specific diagnoses are being ruled out when ordering diagnostic tests Always consider the most life-threatening and …

Read More
Abdominal and GastroinstestinalCardiovascularDermatologyEndocrine, Metabolic, Fluid, and ElectrolytesHematology and OncologyInfectious DiseaseNeurologyObstetrics and GynecologyOrthopedicsResuscitationTrauma

REBEL Core Cast – Basics of EM – Weakness

Take Home Points Be prepared to do everything with these cases, if they can’t provide information, dive into their medication list, history, contact whoever you have to to get more information Keep differentials wide – then approach these cases with …

Read More
Abdominal and GastroinstestinalCardiovascularEndocrine, Metabolic, Fluid, and ElectrolytesInfectious DiseaseNeurologyRenal and GenitourinaryResuscitation

REBEL Core Cast – Basics of EM – Diffuse and Flank Abdominal Pain

Take Home Points Diffuse abdominal pain can be anything – keep a broad differential and work from there Old patient and flank pain = aortic catastrophe – aortic dissections and aneurysms can knock off flow to the kidneys Appendicitis and …

Read More
Abdominal and GastroinstestinalEndocrine, Metabolic, Fluid, and ElectrolytesRenal and Genitourinary

REBEL Core Cast – Basics of EM – Epigastric Pain

Take Home Points Patients don’t necessarily know what’s important – ask lots of questions, find out if they’ve been taking a ton of NSAID’s or Tylenol for their pain and now they have an ulcer or hepatitis Keep a broad …

Read More
Abdominal and GastroinstestinalEndocrine, Metabolic, Fluid, and ElectrolytesInfectious Disease

Sponsored