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Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

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You are here: Home / Archives for Josh Farkas

Fluid selection using pH-guided resuscitation

May 2, 2014 by Josh Farkas 13 Comments

0 PART 1:  Fluid selection for resuscitation of hypovolemic, hyperkalemic renal failure 0 Introduction with a case 0 An elderly man on an ACE inhibitor and NSAIDs presents to the emergency department after a few days of severe norovirus gastroenteritis with a creatinine of 5 mg/dL, a bicarbonate of 15 mEq/L, and a potassium of […]

Submassive PE: Are we treating it backwards?

April 18, 2014 by Josh Farkas 3 Comments

Introduction 0 Submassive PE can be challenging. Most patients do fine with heparin, but occasional patients suddenly arrest and others are left with longstanding pulmonary hypertension.1 Thrombolytics generally cause dramatic improvement, but may cause hemorrhage as well. Recent studies may seem to point in opposite directions. 0 Background: Heparin vs. Alteplase 0 Treatment centers around […]

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