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EMCrit 246 – Philosophical & Psychological Diversions Part I – Liberterian Free Will, Blame and Shame
A swerve from typical content
IBCC chapter & cast: The myth of contrast nephropathy
Does contrast nephropathy exist? Vigorous debate has been ongoing about this dating back to 2013.1 Hundreds of studies on the topic ultimately reveal no convincing evidence that contrast nephropathy exists. However, it’s unethical to perform a prospective RCT, so it’s impossible to ever prove this. This has left us in an evidentiary limbo – we […]
Tox and Hound – Unconscious Uncoupling – Managing pH in Salicylate Overdoses
by Dan Rusyniak When Gwyneth Paltrow “consciously uncoupled” from Chris Martin, I immediately thought of mitochondria. Why mitochondria? For one because mitochondria are the favorite organelle of toxicologists (sorry, sarcoplasmic reticulum . . .). And second, because I am fascinated by drugs that uncouple oxidative phosphorylation. There are lots of toxins that target mitochondria. There […]
IBCC chapter & cast – Endocarditis
Endocarditis is a classic disease of emergency medicine, inpatient medicine, and critical care. The opioid epidemic has caused a surge of endocarditis diagnoses, reminding us of the myriad ways that this disease can present itself.
EMCrit Podcast 245 – Tension Pneumothorax with Simon Leigh-Smith
Tension pneumothorax is actually 2 diseases