. Introduction with a clinical question. A 50-year-old woman with no prior medical problems was admitted to Genius General Hospital with severe influenza pneumonia and acute kidney injury. She was transferred to the ICU and treated with high-flow nasal cannula oxygen support. Over time she gradually improved with decreasing oxygen requirements and improving renal … [Read more...]
PulmCrit – Magnesium infusions for atrial fibrillation & torsade
. Introduction: Perpetual controversy. The use of magnesium for AF has been a controversial topic for decades. Magnesium is a normal electrolyte, so it is cheap and has an excellent safety profile. Ironically, this is also magnesium's Achilles heel, because this has caused the pharmaceutical industry to have no interest in it. This leaves us with relatively sparse … [Read more...]
EMCrit Podcast 20 – The Crashing Atrial Fibrillation Patient
Your patient is pale and diaphoretic. Blood pressure is 70/50. Heart rate is 178. EKG shows atrial fibrillation... What are you going to do???Yeah, yeah the Pavlovian ACLS response--You cardiovert. Wonderful, except it didn't change a thing. Now what?In this episode, I discuss the crashing atrial fibrillation patient. Shock If the patient is chronically in atrial fib, … [Read more...]
Hi, my name is Scott Weingart.