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Medical Category: Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Core Cast 16.0 – Decompensated Hypothyroidism

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 …

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Endocrine, Metabolic, Fluid, and Electrolytes

The Great Debate Between Balanced and Unbalanced Crystalloids Continues

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 …

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Endocrine, Metabolic, Fluid, and Electrolytes

Is the Great Debate Between Balanced vs Unbalanced Crystalloids Finally Over?

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 …

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Endocrine, Metabolic, Fluid, and Electrolytes

Diabetic Gastroparesis Needs HUGS

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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Endocrine, Metabolic, Fluid, and Electrolytes

Mythbuster: Glucose Levels Must be Below a “Safe” Threshold Before Discharge

Background: Anyone who works in the Emergency Department has seen patients brought in by EMS or sent from the clinic with a chief complaint of “high blood sugar.”  Now, we are not talking about patients with diabetic ketoacidosis, but just …

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Endocrine, Metabolic, Fluid, and Electrolytes

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