Correction of Critical Hypokalemia

“Severe hypokalemia is associated with undesirable consequences including cardiac arrhythmias, such as ventricular tachycardia and fibrillation from increased automaticity, and respiratory failure from neuromuscular weakness.” Follow the link to learn how to manage this life threatening condition (and how to peel a banana)

Myths in DKA Management

dka-myths

 

Myths in DKA Management: The urban legends end here

  1. VBG as good as ABG for diagnosis and treatment
  2. Aggressively replete potassium prior to starting insulin
  3. Bicarbonate is unnecessary in DKA treatment and potentially harmful
  4. A bolus of insulin is unnecessary in DKA treatment and potentially harmful

 

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Post-Exposure Prophylaxis

Emergency care is dangerous work. Here’s a rundown of some of the greatest infection threats (HIV, Hepatitis, Meningococcaemia etc) and their appropriate prophylactic agents.

 

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EMS in Kenya: Preliminary research data

EMS in Kenya: Preliminary research data shows that ambulances in Nairobi (which has the highest ambulance density in the country) mostly transport sick children and pregnant mothers.

How Much Radiation are you Really Exposed To during Bedside X-Rays?

Portable X-Rays…how safe are your gonads: The background radiation we are exposed to every day (from cosmic rays, brick buildings, etc) amounts to about 2400 microGrays per year. At approximately 1 meter away from the patient, the amount of radiation from chest X-ray scatter is around 0.2 microGrays which is far is less than the radiation we are exposed to naturally every hour!