Normal saline started being used based on work done in the 1830s with cholera. We are still doing the same thing the same way and it’s not until recently we have begun to ask the hard questions about why we …
Take Home Points Myxedema coma is severe, decompensated hypothyroidism with a very high mortality. Classic features include: decreased mental status, hypothermia, hypotension, bradycardia, hyponatremia, hypoglycemia, and hypoventilation Work up includes looking for and treating precipitating causes, most commonly infection as …
Background: Although the debate over balanced (i.e. lactated ringers, PlasmaLyte) vs unbalanced (i.e. 0.9% saline) crystalloids has not been settled, fluid resuscitation continues to be a fundamental therapy given to critically ill patients. 0.9% saline is one of the most common …
Background: Normal Saline (NS) is one of the most commonly used IVFs in resuscitation today. The use of balanced vs unbalanced crystalloids has been one of the biggest debates in resuscitation of the critically ill in recent history due to …
Background: Anyone practicing in emergency medicine has taken care of a patient with diabetic gastroparesis. Although, it is not a sexy topic to discuss, nor a disease process associated with significant mortality, it is associated with decreased quality of life, …
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