AKI

Dig deeper into the simple 5-step ED approach to AKI outlined in part 1, concentrating on the edematous patient, and 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.

How comfortable are we in the ED charting anything but ‘pre-renal AKI’ in the patient who’s creatinine surprisingly comes back sky high?

We’ll give you the tools to help risk stratify electrical injuries, give some guidance on fluid resuscitation, describe immediate management of acute complications and make you aware of the potential delayed complications that must be anticipated.

In this edition of emDocs Cases, we look at the evidence concerning rhabdomyolysis. What history/exam findings suggest the condition? Is CK level related to renal injury? What fluid is best? Are sodium bicarbonate and mannitol helpful? What’s the disposition? We look at these and more.

A great deal of controversy surrounds the association of IV contrast with acute renal injury. However, a recent study suggests this association is myth rather than fact. This post by Dr. Sinert evaluates this new study and the importance of confounders.