All right, so welcome back to the Internet Book of Critical Care podcast.

We're with Adam Thomas and we're going to talk about hypocalcemia, the last of the electrolytic

problems.

Josh, we're hitting a milestone.

Finally, we get to check off one section of the Internet Book of Critical Care.

So we'll be able to get you covered when your patients fall in apart and have all of the electrolyte of Critical Care. So we'll be able to get you covered when your patients falling apart and have all of the

electrolyte disarrays.

So today we'll cover signs symptoms, work up and treatment of a quick podcast of hypo-calcemia.

And before we get into the signs and symptoms, Josh, tell me why calcium's important.

It's not that important.

It's not as if it binds like every single protein

of the body. But it all ends in Torsads, which is your favorite, Josh. So we all know all things

end with Torsads with Farkas. It's not my fault. Let's talk about that that is important in everything

in our body. So symptoms. Break it down neuromuscular excitation and cardiovascular badness.

So I think typically the most prominent thing here is neuromuscular excitation. So we can see seizures,

anxiety, delirium, parisages, and then the classic muscle cramping weakness. And technically

you can see a lorongosasm and bronchospasm. Certainly haven't seen that. And there's a really

cool video here of trousseau sign, which is when the hand curls up with high blood pressure. That's always a lot of fun. You're only into the

hands and not into the face. Chofsac's just got cut, man. I totally cut out chaff stacks. The

sensitivity and specificity isn't that great. And it's seen in 10 Trasolus, remember, when it's really profound hypochalcemia, you don't even need the blood pressure

or tourniquet.

Basically, at that point, they just have tetany, kind of like me when I'm riding my bike

...