In this 10 minute lecture from Rebellion in EM 2021, I discuss the literature, both old and new, on IV contrast and the risk of post-contrast acute kidney injury.
Background: It has long been thought that intravenous contrast can lead to acute kidney injury. Recent data, however, has called this dogmatic teaching into question. Unfortunately, the data arguing against the association of contrast with AKI comes from observational trials …
Background: Most guidelines recommend prehydration prior to iodine-based contrast media to prevent postcontrast acute kidney injury (PC-AKI) in patients with CKD. There is, however, a lack of evidence for the effectiveness of this as well as the potential adverse effects …
Background: Computed tomography pulmonary angiography (CTPA) is the current gold standard for diagnosing acute pulmonary embolism in the ED. It has a high sensitivity, and specificity, is readily available, and can establish analternative diagnoses. One issue with CTPA is that …
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