Welcome to the Emergency Medicine Cases podcast. I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.

EM cases is part of Shremi, the Schwartz-Riseman Emergency Medicine Institute. That's the nonprofit organization dedicated to improving EM care through high

quality research and education. The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose treat or prevent any medical condition, nor should they be used as a substitute for medical advice from a qualified practicing physician. Unless youated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of the Institute nor medicine cases. This is part two of our two-part podcast series on A.K.I.

for the E.D. Doc. In this part, Ed Etchels, Burke Tillman and I are going to dig a bit deeper

into our stepwise approach to A.K.I. Concentrating on the edematous patient. Then we'll

discuss the IV crystalloid of choice in patients with A.K.I. And the A.K.I. Dialysis indications and timing. We'll discuss the IV crystalloid of choice in patients with AKI and the AKI dialysis

indications and timing. We'll ask the question, are Pipericillin and vancomycin contraindicated

in patients with severe AKI? We'll ask, is vasopressin preferred over noropenephrine for patients

with AKI and septic shock? And is there a role for giving sodium bicarb in A.k.

We'll clear up the confusion about when to stop aces and arbs in the renal patient and the intricacies

of giving enseds in AKI patients. We'll wrap up with some disposition decisions and a review of the

general approach. Now, don't forget that this podcast and a review of the general approach.

Now, don't forget that this podcast is only part of the EMCases learning system.

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And now, ED-A-I management.

I want to get onto the treatment of A.K.I.

Dr. A.CHELS, you beautifully outlined your approach, the four-stemmed

approach, the PVR, the urine dip, monitoring the urine output, and avoiding nephrotoxins.

And then your approach in terms of asking, is the person adequately perfusing? Do they have

pulmonary edema? Do they have peripheral edema?

...