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PulmCrit- Controlled aquaresis: Management of hypervolemic or euvolemic hyponatremia with oral urea
I’ve been yearning to use oral urea for euvolemic hyponatremia for years (e.g. see a post from 2015 here). Urea has been used in Europe for decades, but until very recently it was unavailable in the United States. It has numerous advantages compared to the vaptans (which are extremely expensive and potentially dangerous). Recently, an […]
Tox and Hound – Fellow Friday – Endozepines and Idiopathic Recurrent Stupor
Endozepines and Idiopathic Recurrent Stupor From Cholesterol Anesthesia to Anticonvulsant Potatoes and Hepatic Encephalopathy by Steven Curry, M.D.Banner – University Medical Center PhoenixUniversity of Arizona College of Medicine – PhoenixPhoenix, AZ@SteveCurryMD The upcoming traditional Thanksgiving holiday meal along with anticipated postprandial lethargy reminded me of a topic that toxicology fellows should be familiar with and […]
IBCC chapter & cast: Hypothermia
Hypothermia is a heterogeneous topic. At one end of the spectrum are previously healthy people who suffer from cold exposure (for whom the rewarming is the primary focus of therapy). At the other end of the spectrum are patients with mild secondary hypothermia (e.g. due to sepsis), for whom the primary focus is investigation and […]
IBCC chapter & cast: Bupropion intoxication
Most books give bupropion a couple paragraphs, but it arguably deserves its own chapter. With a decrease in the use of tricyclics and increasing use of bupropion XR for depression, bupropion is becoming the most common cause of life-threatening antidepressant overdose. Bupropion has a uniquely dangerous property of blocking gap junctions between cardiomyocytes at high […]
EMCrit 259 – Cardiogenic Shock — The Next Level & Mechanical Circulatory Support with Jenelle Badulak
Taking Cardiogenic Shock Management to the next level…
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