Episode 86 – Emergency Management of Hyperkalemia

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 27 September 2016

⏱️ 70 minutes

🔗️ Recording | iTunes | RSS

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Summary

This is 'A Nuanced Approach to Emergency Management of Hyperkalemia' on EM Cases. Of all the electrolyte emergencies, hyperkalemia is the one that has the greatest potential to lead to cardiac arrest. And so, early in my EM training I learned to get the patient on a monitor, ensure IV access, order up an ECG, bombard the patient with a cocktail of kayexalate, calcium, insulin, B-agonists, bicarb, fluids and furosemide, and get the patient admitted, maybe with some dialysis to boot. Little did I know that some of these therapies were based on theory alone while others were based on a few small poorly done studies. It turns out that some of these therapies may cause more harm than good, and that precisely when and how to give these therapies to optimize patient outcomes is still not really known...

Transcript

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0:00.0	Welcome to the Emergency Medicine Cases Podcast.
0:05.8	I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC Studios in Toronto. Before we get started with the wonderful Ed Etchols and Melanie Bamel on Hypercalemia,
0:32.7	just a couple of quick announcements.
0:35.0	First courses.
0:36.5	I've had the great opportunity to help out as a course
0:39.7	director for the first ever podcasting course for medical educators in April 2017. This is going to be
0:47.3	a two-day course on everything you need to know and learn about how to create a kick-ass podcast,
0:53.5	which is being put on by the Teaching
0:55.5	Institute. That's the incredible nonprofit organization run by Rob Rogers and Salim Rizay,
1:01.8	who also run the teaching course, which is like the best meta course I've ever been to.
1:07.8	So if you're thinking of starting a podcast or you want to take your existing podcast to the next level,
1:14.0	come on down to Kentucky and learn from grades like Scott Weingart, Rob, Salim, Anon, Suami, Nathan,
1:21.1	Jess Mason from EM Rap's going to be there.
1:24.3	It's going to be small group workshops.
1:26.8	For more details, just go to the website, which is the
1:30.6	podcasting course, all one word.com. The podcasting course.com. And talking about courses, the second
1:39.4	annual EM cases course will be held this year on February 4th, 2017, the day before Super Bowl Sunday.
1:47.4	Last year's course sold out pretty quickly, and there were only 45 spots available for this year.
1:54.3	Registration opens up September 27th, so get in there early and get your spot.
1:58.7	It's first come first serve.
2:00.6	If you want more information about the course, go to emcases.com and click on the EMKases
2:05.6	course poster on the sidebar to get all the details you need.
	...

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