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Podcast 677: LR 4 DKA

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station description Emergency Medical Education
Emergency Medical Minute
Duration: 02:33
Contributor:  Aaron Lessen, MD Educational Pearls: Lactate Ringer’s (LR) are becoming a preferred IV fluid for a multitude of indications Study looking at fluid choice for patients with diabetic ketoacidosis (DKA) compared those receiving LR and normal saline, finding: Improved resolution of DKA
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Contributor:  Aaron Lessen, MD Educational Pearls: Lactate Ringer’s (LR) are becoming a preferred IV fluid for a multitude of indications Study looking at fluid choice for patients with diabetic ketoacidosis (DKA) compared those receiving LR and normal saline, finding: Improved resolution of DKA by 4 hours in those receiving LR Insulin drip stopped 4 hours soon in those receiving LR References Self WH, Evans CS, Jenkins CA, et al. Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials. JAMA Netw Open.2020;3(11):e2024596. doi:10.1001/jamanetworkopen.2020.24596 Self  WH, Semler  MW, Wanderer  JP,  et al; SALT-ED Investigators.  Balanced crystalloids versus saline in noncritically ill adults.  N Engl J Med. 2018;378(9):819-828.  Semler MW, Self WH, Wanderer JP, Ehrenfeld JM, Wang L, Byrne DW, Stollings JL, Kumar AB, Hughes CG, Hernandez A, Guillamondegui OD, May AK, Weavind L, Casey JD, Siew ED, Shaw AD, Bernard GR, Rice TW; SMART Investigators and the Pragmatic Critical Care Research Group. Balanced Crystalloids versus Saline in Critically Ill Adults. N Engl J Med. 2018 Mar 1;378(9):829-839. doi: 10.1056/NEJMoa1711584. Epub 2018 Feb 27.  Summarized by Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account.  Donate to EMM today!
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