Welcome to the supplemental reading around my talks at the EEMCrit Conference.
If you have any unanswered questions or discussion points, feel free to comment. It would probably be ideal to comment within the comments section of the relevant blog, but you can put them below too.
(1) LR vs. NS for hyperkalemia
- The initial LR vs. NS blog
- Use of bicarb in hyperkalemia discussed here. Note that isotonic bicarb (D5W with three ampules of bicarbonate per liter, to create a 150 mEq/L solution of sodium bicarb) reduces potassium in the context of metabolic acidosis, but ampules of hypertonic bicarb don't. This is a big source of confusion.
- pH guided resuscitation: choose your fluid to make things better.
(2) Status Epilepticus
- Initial status epilepticus blog here (2014, a bit outdated but basic concepts are good).
- 2017 reboot of status epilepticus algorithm – updated drug doses, sugammadex now available in US, more experience/data with ketamine.
(3) BRASH syndrome
- Main BRASH blog here.
- Post about my love for epinephrine in bradycardia (don't mess around with atropine).
- Modern max-agressive treatment algorithm for hyperkalemia (hold the kayexalate please).
Huge thanks to Scott, everyone who came to the conference, and everyone reading this. FOAM has greatly improved my experience of critical care medicine and I'm very grateful for that. Wanted to say that at the conference, but time didn't allow.