You searched for hyponatremia - Emergency Medicine Cases

EM Quick Hits 46 – Wilderness Medicine, Bowel Prep Hyponatremia, Non-Convulsive Status Epilepticus, Morel Lavallee Lesions, Pacemaker ECGs, Loans vs Investing

In this EM Quick Hits podcast: Justin Hensley and Aaron Billin on Wilderness Medicine, Elisha Targonsky on Bowel Prep Hyponatremia, Brit Long on Non-Convulsive Status Epilepticus, Andrew Petrosoniak on Morel Lavallee Lesions, Jesse McLaren on Pacemaker ECGs and Matt Poyner on paying off loans vs investing... https://emergencymedicinecases.com/donation/

By Anton Helman|2024-02-12T07:35:28-05:00February 14th, 2023|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Trauma|Tags: ECG pacemaker, hyponatremia, Morel Lavallee, NCSE, wilderness medicine|0 Comments

CritCases 10 Hyponatremia Associated Seizures

In this EM Cases CritCases blog - a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, a middle aged woman presents to a rural ED with headache and vomiting, normal vital signs with subsequent status epilepticus and serum sodium of 110 mmol/L. What management recommendations would you make to the rural ED physician, the transport team and in your ED with regards to treatment of seizures, safe correction of hyponatremia, airway management, search for underlying cause and prevention of Osmotic Demyelenation Syndrome?

By Anton Helman|2018-06-18T22:47:15-04:00June 19th, 2018|Categories: CritCases, EM Cases, Emergency Medicine, Medical Specialty, Neurology, Resuscitation|Tags: hypertonic saline, ODS, status epilepticus|2 Comments

New Rapid Reviews Videos on IV Iron & Hyponatremia

Two classic EM Cases main episode podcasts, IV Iron for Anemia in EM with Jeannie Callum and Walter Himmel, and Emergency Management of Hyponatremia with Melanie Baimel and Ed Etchells are covered in the latest Rapid Reviews Videos by Taryn Lloyd and Nick Clarridge. Dr. Lloyd reviews how to avoid needless blood transfusions, the indications for IV iron and how to actually administer IV iron, while Dr. Clarridge reviews a novel approach, causes, complications and management of hyponatremia in the ED...

By Anton Helman|2017-06-27T21:46:49-04:00June 27th, 2017|Categories: Clinical Practice, EM Cases, Emergency Medicine, Hematology, News, Rapid Reviews Videos|Tags: cerebral edema, osmotic demyelination syndrome, transfusion, venofer|1 Comment

Hyponatremia P1

Approach & causes

By Anton Helman|2020-07-16T11:59:24-04:00June 27th, 2017|Categories: Clinical Practice/Other|1 Comment

Hyponatremia P2

Complications & treatment

By Anton Helman|2020-07-16T11:59:02-04:00June 27th, 2017|Categories: Clinical Practice/Other|1 Comment

Episode 60: Emergency Management of Hyponatremia

In this EM Cases episode Dr. Melanie Baimel and Dr. Ed Etchells discuss a simple and practical step-wise approach to the emergency management of hyponatremia: 1. Assess and treat neurologic emergencies related to hyponatremia with hypertonic saline 2. Defend the intravascular volume 3. Prevent further exacerbation of hyponatremia 4. Prevent rapid overcorrection 5. Ascertain a cause Dr. Etchells and Dr. Baimel answer questions such as: What are the indications for giving DDAVP in the emergency management of hyponatremia? What is a simple and practical approach to determining the cause of hyponatremia in the ED? How fast should we aim to correct hyponatremia? What is the best fluid for resuscitating the patient in shock who has a low serum sodium? Why is the management of the marathon runner with hyponatremia counter-intuitive? What strategies can we employ to minimize the risk of Osmotic Demyelination Syndrome (OSD) and cerebral edema in the emergency management of hyponatremia? and many more...

By Anton Helman|2021-04-13T13:02:17-04:00March 3rd, 2015|Categories: Emergency Medicine, Episodes, Medical Specialty|Tags: cerebral edema, DDAVP, EAH, Ed Etchells, hypertonic saline, Melanie Baimel, ODS, osmotic demyelination syndrome, SIADH|16 Comments

Best Case Ever 33: Over-correction of Hyponatremia

Rapid over-correction of Hyponatremia can have devastating consequences: for one, osmotic demyelination syndrome (ODS) can result in destruction of the pons and a locked-in state. We don't see ODS very much as it's onset is delayed and usually sets in after the patient is admitted to hospital (or worse, sent home). Nonetheless, we need to know how to manage Hyponatremia in the ED so that we prevent ODS from ever happening. In this Best Case Ever, Dr. Melanie Baimel describes the case of a young woman who came in to the ED after drinking alcohol and taking Ecstasy, wanted to leave AMA after her Hyponatremia had inadvertently been corrected too rapidly, and the conundrum that ensues. In the upcoming episode, Dr. Baimel and the first ever Internal Medicine specialist on EM Cases, Dr. Ed Etchels, discuss a rational step-wise approach to managing Hyponatremia, tailored for the EM practitioner; when you might consider giving DDAVP in the ED, the best way to correct Hyponatremia, how to manage the patient who's Hyponatremia has been corrected too quickly, and an easy approach to the differential diagnosis. Get a sneak peak at the algorithm that will be explained and reviewed in the upcoming episode...... [wpfilebase tag=file id=577 tpl=emc-play /] [wpfilebase tag=file id=578 tpl=emc-mp3 /]

By Anton Helman|2019-11-11T17:21:15-05:00February 26th, 2015|Categories: Best Case Ever, Emergency Medicine, Medical Specialty, Toxicology|Tags: DDAVP, ecstasy, MDMA, Melanie Baimel, ODS, osmotic demyelination syndrome|3 Comments

EM Quick Hits 52 Infant Vomiting, Orbital Cellulitis, Prehospital TXA in Trauma, Prevention and Treatment of Delirium, Procedural Skills Decay, Altitude Sickness

In this month's EM Quick Hits podcast: Sarah Reid on an approach to Infant Vomiting, Brit Long on Orbital Cellulitis essentials, Justin Morgenstern on the PATCH trial - Prehospital TXA in Trauma, Christina Shenvi on Prevention and Treatment of Delirium, Jason Hine on Procedural Skills Decay, Aaron Billin on Altitude Sickness... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-04-02T22:27:17-04:00October 17th, 2023|Categories: Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Pediatrics, Special Populations, Trauma|Tags: Acute Mountain Sickness, delirium, HAPE, orbital cellulits, PATCH trial, tranexamic acid, TXA|1 Comment

Résumés EM Cases

Épisode 187 Crash anaphylaxie et AMAX 4 avec Ben McKenzieEpisode 186 Traumatic Dental Emergencies with Chris Nash & Richard NgoÉpisode 185 Urgences dentaires non traumatiques avec Chris Nash & Richard NgoÉpisode 184 Interactions médicamenteuses avec David Juurlink & Walter HimmelÉpisode 183 MIP et lésions génitales avec Catherine Varner & Robyn ShaferEpisode 182 STIs: Cervicitis, Vulvovaginitis, Urethritis with Catherine Varner & Robyn ShaferEpisode 181 CVT, IIH, GCA, Peripartum Headache with Roy Baskind & Amit ShahEpisode 180 Acetaminophen Poisoning with Emily Austin & Margaret ThompsonEpisode 179 Specific Hand Injuries with Matt Distenfano and Arun SayalÉpisode 177 Prise en charge et défi diagnostic de la bronchiolite avec Suzanne SchuhÉpisode 176 Pièges en radiographie orthopédique avec Arun Sayal & Yatin ChadhaÉpisode 175 Diagnostic différentiel orthopédique : Mnémotechnique SCARED OF avec Arun Sayal & Yatin ChadhaÉpisode 174 Pneumothorax traumatique avec Mathieu ToulouseÉpisode 173 Fiévre chez les nourrissons, stratification du risque et investigations avec Brett Burstein et Gary JoubertÉpisode 172 La syncope simplifiée avec Dr David CarrÉpisode 170 Controverse de l'arrêt cardiaque partie II – EDU, communication, arrêt des manœuvres avec Bourke Tillmann, Scott Weingart, Sara Gray & Rob SimardÉpisode 169 Controverses de l'arrêt cardiaque partie I avec Bourke Tillmann, Scott Weingart, [...]

By Stephanie Young|2023-10-15T19:59:22-04:00August 12th, 2022|Comments Off

ECG Cases 33 Brugada Syndrome: 3-Step Approach to Diagnosis and Management

Jesse McLaren guides us through 7 cases and explains his 3-step approach to diagnosing and managing Brugada syndrome in this month's ECG Cases blog...

By Jesse McLaren|2022-07-19T12:07:33-04:00July 19th, 2022|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine|Tags: Brugada, ECG, ECG interpretation, sudden cardiac death, syncope|1 Comment

Need a new search?