SCOPE-DKA: Normal Saline vs Plasmalyte in Severe DKA
November 22, 2021
Background Information: Diabetic Ketoacidosis (DKA) is a life-threatening complication of diabetes that we frequently encounter in both the emergency department (ED) and intensive care unit...
Marco Torres
REBEL Core Cast 26.0 – Lactated Ringers
January 29, 2020
Take Home Points When compared to 0.9% saline, lactated ringers is a more balanced solution and more closely resembles our serum. SALT ED and SMART...
Does Lactated Ringers (LR) Raise Serum Lactate?
October 10, 2019
Background: Serial lactate measurements is a common core measure that we follow in septic shock resuscitation. A number of readers have written in enquiring about whether...
Rebellion in EM 2019: What the Fluid? Wieters vs Bryant
August 26, 2019
Normal saline started being used based on work done in the 1830s with cholera. We are still doing the same thing the same way and...
EM Quick Hits 1 Massive PE, Gabapentin for Alcohol Withdrawal, Dental Avulsions, Pediatric Eye Exam, Best Resuscitation Fluid
January 15, 2019
EM Quick Hits is a brand new EM Cases podcast that contains 5 minute segments chosen from 10 specific topics by 10 different experts and educators....
Anton Helman
Is the Great Debate Between Balanced vs Unbalanced Crystalloids Finally Over?
February 28, 2018
Background: Normal Saline (NS) is one of the most commonly used IVFs in resuscitation today. The use of balanced vs unbalanced crystalloids has been one...