4-part series reviewing management of Acute Coronary Syndrome, from a rural perspective.
4-part series on fluid and electrolyte homeostasis, and the science behind choosing IV fluids & rates.
Intro, 6 deadly causes of Chest Pain
not to miss □/◇, ACS epidemiology □
Definitions ○, Pathophysiology ○, Classic Presentation ○, Laboratory Testing □
EKG Review - ST depression □, ST elevation □, 12 leads □ & 15 leads □
Other diagnostic tools □/◇, Treatment (Acute & Subacute) □/◇, References
00:00-01:43 Intro & MGMCast Announcement
01:43-02:30 Presentation Overview
02:30-11:30 Review of Physiology (Body Water & Electrolytes)
02:50 - Body Water Distribution & Rule of 1/3s ○
04:21 - Composition (solutes) of extracellural & intracellular fluid ○
06:45 - Additional components of blood ○
08:07 - intravascular forces and fluid shifts ○
11:32-13:49 Indications for IV Therapy ○
13:49-14:04 Question 1 (correct vs maintain?)
00:10-2:18 Categories of IV Fluid & Tonicity
02:19 - Normal Saline □
04:28 - Ringer’s Lactate □
06:19 - NS vs RL (Head to Head) □
06:50-07:46 - EBM for NS vs RL ◇
07:46 - Dextrose Solutions □
09:44 - IV Solution & Body Compartment Distribution ○
11:51 - Whole Blood □
12:40 - PRBCs □
13:06-14:15 - Triad of Death □
14:34 - FFP □
15:10-15:21 - Question 2 (which component?)
00:10-0:50 Recap and Section Overview
00:51 - Maintenance Rate Calculation (4-2-1 Rule) ○
02:57 - Burns (Parkland Formula) ○
04:55 - Fluid Tolerenance vs Fluid Responsiveness □
08:35-09:51 "Minimum Normotension" ◇
00:00-10:35 Sample Cases: □
00:20 - #1 gastroenteritis
01:30 - #2 hemorrhagic shock
02:15 - #3 pre-operative (pre-colonoscopy) syncope
03:30 - #4 ST-Elevation MI
04:57 - #5 severe cholecystitis management
06:37 - #6 lymphoma, acute on chronic(?) anemia, dizzy
07:55 - #7 hyponatremia with confusion
09:06 - #8 pre-operative fasting orders
10:35-10:55 References & Conclusion