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EMCrit 371 - Iodinated Contrast Issues: Part 2 - Contrast Reactions

EMCrit FOAM Feed

Scott D. Weingart, MD FCCM

Medicine, Health & Fitness, Science

4.82K Ratings

🗓️ 24 March 2024

⏱️ 14 minutes

🧾️ Download transcript

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Transcript

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0:00.0

Hey folks Scott Weingard here and this is the M-Crit Podcast.

0:04.0

Today on the podcast we're going to do part two of contrast issues.

0:07.9

Iodinated contrast issues to be specific. Last time we had

0:19.4

discussed contrast associated with J with Joel Toff and today we're going to discuss

0:25.9

contrast reactions. Before we get to that super quick,

0:30.7

reanimate tickets are still on sale, Re reanimate conference.com, that's our

0:34.9

resuscitative ecmo conference taking place in San Diego in November 2024. Check that out,

0:39.8

reanimate conference.com. And then a new announcement is we just opened registration

0:44.5

for cohort three of the flame-proof course which is our anti-burnout course our

0:50.2

protection from burnout warding against those dark evil spirits, and if you're already in the

0:54.8

midst of burnout, how to get yourself back to a place where you are happy in your career,

0:59.4

where you want to go to work instead of dreading going to work and if you're interested in that go

1:03.8

to flameproof course dot com that's flameproof course dot com and with that let's get

1:08.6

right into the show so some quick follow-up from the last episode on contrast associated

1:13.5

nefropathy now after I recorded the episode with Joel I had a few questions that

1:17.8

it occurred to me so I sent them to him and he was nice enough to answer

1:20.0

so I'll go through them sequentially first First question is, is there any difference in risk assessment

1:25.0

when all of the patients decreased GFR

1:28.0

appears to be from a pre-renal Aza team,

1:31.0

you know, from something like dehydration versus an actual intrinsic kidney

1:35.8

disease.

1:36.8

So you believe that the patient has a completely reversible non-intrinsic kidney hit that if you had hydrated the patient or increase the

...

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