Ep 151 AKI Part 2 – ED Management
Play • 41 min

In this Part 2 of our AKI series we discuss the timing, volume and IV crystalloid of choice in AKI patients as well as dialysis indications and timing in light of the recent STARRT-AKI trial. We answer the questions: are piperacillin and vancomycin in combination contraindicated in patients with severe AKI? Is vasopressin preferred over norepinephrine in patients with AKI and septic shock? Is there a role for IV sodium bicarbonate in AKI? When should ACEi/ARBs be held in AKI patients? When, if ever, should NSAIDs be given in AKI patients, and if so, how should the dose be modified? and many more....

The post Ep 151 AKI Part 2 – ED Management appeared first on Emergency Medicine Cases.

Bedside Rounds
Bedside Rounds
Adam Rodman, MD, MPH, FACP
60 - Santa's Salmonella
For a special holiday treat, we’re going to explore two tales of salmonella disease detectives -- the first about Mary Mallon (“Typhoid Mary”) and the birth of the genre; and the second about a mysterious salmonella outbreak at Massachusetts General Hospital solved with the assistance of a very jolly patient. Along the way, we’ll talk about clinical epidemiology, the long-lasting influence of Berton Roueché, and the joys of being an internist! You can sign up for the Digital Education conference at cmeregistration.hms.harvard.edu/digitaleducation. Sources: * Buckle GC, Fischer Walker CL, and Black RE, Typhoid fever and paratyphoid fever: Systematic review to estimate global morbidity and mortality for 2010.J Glob Health. 2012 Jun; 2(1): 010401. * Marineli F et al, Mary Mallon (1869-1938) and the history of typhoid fever.Ann Gastroenterol. 2013; 26(2): 132–134. * Soper GA, The Curious Career of Typhoid Mary, read on May 10, 1939 before the Section of Historical and Cultural Medicine. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1911442/pdf/bullnyacadmed00595-0063.pdf * Norrington B, Cochineal: A Little Insect Goes a Long Way, UCSB Geography. * Roueche B, The Santa Claus Culture, The New Yorker, Aug 27, 1971. * Lang DJ et al, Carmine as a Source of Nosocomial Salmonellosis, NEJM. Apr 13, 1967. * You can buy Medical Detectives here: https://www.amazon.com/Medical-Detectives-Collection-Award-Winning-Investigative/dp/0452265886
38 min
Medgeeks Clinical Review Podcast
Medgeeks Clinical Review Podcast
Medgeeks
Psilocybin assisted therapy, mental health, and how we doubled the size of our company
It’s been a very long time since I have jumped on the Medgeeks podcast. But, every year I share and reflect everything I have learned with the community...and this year is no different! This episode is heavily focused on mental health and the pandemic. Much of what I discuss today is based off my personal experience, which is what shaped the growth of our company. Today, I’ll be discussing: * The Pandemic * My experience with psilocybin * Why I started therapy and how it’s helped shape Medgeeks * How our company doubled in size and brought on many full time employees in a time when many businesses were laying people off. * The #1 mistake PAs and NPs make after graduation * The secret to being the absolute best clinician you can be * 4 main takeaways I learned in 2020 that changed my life It’s my hopes that I can do my small part to help squash the stigma behind mental health. After all, my fiance is a marriage and family therapist :). At the end of the episode, I ask to see if anyone is interested in discussing business and/or personal growth. If that’s you, just click the link below to sign up. If there’s enough interest, I'll hold a free virtual session, where we can work together to help you get ahead. I have nothing to sell. This is just my way of giving back: https://medgeeks.co/business-talk Talk soon! - Andrew p.s. The future podcast episodes will not be like this. We’ll continue to focus on evidence based medicine to help you master medicine. But, it’s my podcast and I wanted to share haha. Happy New Year!
38 min
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