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Medical Category: 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

Euglycemic DKA: It’s not a Myth

Background: Diabetic ketoacidosis (DKA) is traditionally defined as a triad of hyperglycemia (>250mg/dL), anion gap acidosis, and increased plasma ketones. There is another entity that providers must be aware of known as euglycemic DKA (euDKA), which is essentially DKA without …

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Endocrine, Metabolic, Fluid, and Electrolytes

Diabetic Ketoacidosis (DKA) Myths

Recently, I was asked to give a lecture to both my residents and nurses at the University of Texas Health Science Center at San Antonio (UTHSCSA) on some common DKA myths. Now this topic was originally covered by my good friend Anand Swaminathan …

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Endocrine, Metabolic, Fluid, and Electrolytes

The SPLIT Trial: Saline vs Plasma-Lyte Fluid Therapy

There has been a lot of debate over the recent years about the safety of crystalloid fluid therapy in acutely ill patients. Several observational studies have shown an increased risk of acute kidney injury (AKI)  with the use of normal …

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Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Review 71: Treatment of Thyroid Storm

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REBEL Reviews

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