Episode 60: Emergency Management of Hyponatremia

Episode 60: Emergency Management of Hyponatremia

In this EM Cases episode Dr. Melanie Baimel and Dr. Ed Etchells discuss a simple and practical step-wise approach to the emergency management of hyponatremia: 1. Assess and treat neurologic emergencies related to hyponatremia with hypertonic saline 2. Defend the intravascular volume 3. Prevent further exacerbation of hyponatremia 4. Prevent rapid overcorrection 5. Ascertain a cause Dr. Etchells and Dr. Baimel answer questions such as: What are the indications for giving DDAVP in the emergency management of hyponatremia? What is a simple and practical approach to determining the cause of hyponatremia in the ED? How fast should we aim to correct hyponatremia? What is the best fluid for resuscitating the patient in shock who has a low serum sodium? Why is the management of the marathon runner with hyponatremia counter-intuitive? What strategies can we employ to minimize the risk of Osmotic Demyelination Syndrome (OSD) and cerebral edema in the emergency management of hyponatremia? and many more...

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Ep 223 Epistaxis Management: A Step-Wise Approach

Ep 223 Epistaxis Management: A Step-Wise Approach

Epistaxis is usually straightforward—until it isn’t. How can you distinguish an anterior bleed from a dangerous posterior bleed? What’s the best sequence for compression, vasoconstrictors, TXA, cauter...

29 Syys 1h 39min

EM Quick Hits 73 MedMal Case Peds Headache, Phenobarb in Alcohol Withdrawal, Peer Support Programs, Asymptomatic Bacteriuria, Mechanical Ventilation, Coaching the EM Mind Part 3

EM Quick Hits 73 MedMal Case Peds Headache, Phenobarb in Alcohol Withdrawal, Peer Support Programs, Asymptomatic Bacteriuria, Mechanical Ventilation, Coaching the EM Mind Part 3

In this month’s EM Quick Hits Podcast, Mike Weinstock dissects a pediatric headache medical malpractice case, Zoe Polsky reviews the use of phenobarbital for alcohol withdrawal, and Kylie Booth and No...

8 Syys 2h 14min

Ep 222 Imaging Decisions in Emergency Medicine

Ep 222 Imaging Decisions in Emergency Medicine

When to image, when to wait, and what to do when the ideal test isn’t available are often far more nuanced than they appear. In this EM Cases episode, Dr. Amit Shah joins Anton to tackle some of the t...

25 Elo 48min

Ep 221 EM-Primary Care Health Systems Strategies, Myths, Misperceptions and Solutions

Ep 221 EM-Primary Care Health Systems Strategies, Myths, Misperceptions and Solutions

There are few things more frustrating for an Emergency Physician than caring for patient after patient who lands in the ED not because it’s necessarily the best place for their care, but because every...

11 Elo 1h 43min

EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2

EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2

In this month’s EM Quick Hits Podcast, Amna Karabegovic joins us for an EMC² case of pediatric altered LOA and neurocritical care, Anand Swaminathan simplifies the high-risk management of pulmonary hy...

21 Heinä 1h 39min

Ep 220 Facial Injuries: Assessment, Management and Disposition

Ep 220 Facial Injuries: Assessment, Management and Disposition

Facial trauma is common in emergency medicine, but the biggest pitfalls are often not the fractures themselves—they're the threatened airway, vision-threatening ocular injuries, missed septal hematoma...

30 Kesä 1h 43min

Ep 219 Hip Emergencies: Recognition and Management

Ep 219 Hip Emergencies: Recognition and Management

Hip complaints are bread-and-butter emergency medicine—but every so often they are anything but straightforward. The obvious shortened, externally rotated leg after a fall is one thing; the patient wi...

16 Kesä 1h 25min

Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

Antibiotics for strep throat seem like a simple decision—but the evidence is anything but simple. In this Journal Jam podcast with Dr. Casey Parker and Dr. Justin Morgenstern, we critically appraise t...

2 Kesä 1h 19min

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