Podcast #186: IV Contrast

Podcast #186: IV Contrast

Author: Aaron Lessen M.D.

Educational Pearls:

  • Regularly a patient's creatinine level is an important factor in determining whether a patient will receive IV contrast with a CT because it is thought that contrast can harm the kidneys and could worsen underlying kidney disease.
  • A recent retrospective study compared the rates of worsening kidney problems between patients who received a CT scan with contrast, a CT without contrast, and no CT.
  • The study even included patients with creatinines of up to 4 before excluding patients.
  • The study suggested that there is no difference in the rate of worsening kidney problems between the three groups.

References: http://www.annemergmed.com/article/S0196-0644(16)31388-9/fulltext

Jaksot(1145)

Podcast #334 - Resuscitative Thoracotomy

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Podcast #333 - TBI Prognosticators

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Author: Michael Hunt, MD Educational Pearls: Studies have shown that patients with decreasing GCS scores have worse outcomes, however GCS of 4 has worse outcome than GCS 3. Alternative scoring sy...

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Podcast #332 - Door To Furosemide Time

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Author: Nick Hatch, MD Educational Pearls: Recent study argues that CHF patients receiving furosemide within 60 minutes of arrival had a lower in-hospital mortality than those receiving it after (2...

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Podcast # 331:  Oral Rehydration Therapy (ORT)

Podcast # 331: Oral Rehydration Therapy (ORT)

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Podcast # 330:  Behcet Disease

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Author: Nick Hatch, MD Educational Pearls: Behcet Disease is an autoimmune disease that can affect any organ system. Typical symptoms include recurrent oral and genital ulcers, but more concernin...

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Podcast # 329:  Hypokalemic Periodic Paralysis

Podcast # 329: Hypokalemic Periodic Paralysis

Author: Dylan Luyten , MD Educational Pearls: Rare autosomal dominant condition that is often misdiagnosed as a psychiatric illness. Presents as profound muscle weakness with frank paralysis that...

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Podcast # 328:  Sleep Deprivation

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Podcast # 327: No More Hemoccults

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