This is such a cool illustration of how the Mercator map distorts the size of Greenland, which looks as big as the whole continent of Africa on that map but is actually the size of Mexico.
In patients with cardiovascular disease and an implantable cardioverter–defibrillator, increasing potassium levels to the high-normal range reduced the risk of arrhythmia events, hospitalizations, and death. Full POTCAST trial results and Research Summary: nej.md/4oQtHTN
#MedSky
normal mentation *doesn't* indicate adequate systemic perfusion
especially in cardiogenic shock, people can mentate well despite terrible CO & systemic perfusion
poor mentation is sometimes an early sign of *septic* shock, but often a very late indicator of other shock states #EMIMCC
The doses of bicarb used were aggressive
Interquartile range for total cumulative dose was 500-1000 ml of 4.2% bicarbonate
That's equivalent to 5-10 amps (50 ml vials) of 8.4% in the USA
You can use a LOT of bicarb if you have to (titrated to effect; also look at Na levels & avoid hyperNa)
#4/4
In honor of spooky month, share a 4 word horror story only someone in your profession would understand
“Remember that patient you…”
These may well be the best years of your life, but I’m just saying 6.30-8.30am aren’t the best hours of those best years 🫠