Mar 15, 2019
The battle over the superiority
of resuscitation fluids is coming to a boil. Enter the Fluid Wars.
Are Lactated Ringers superior to normal saline? Will LR increase a
patient’s lactate? What about albumin? The Curbsiders quench the
thirst for knowledge by turning to masters Dr. Pascale Khairallah
(@Khairallah_P), Dr. Charlie Wray (@WrayCharles) and Dr. Joel Topf (@kidneyboy) for guidance in this special @NephMadness episode that will get your feet wet with the
complicated world of fluid resuscitation.
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Written and produced by: Justin
Berk MD, Pascale Khairallah MD
NephMadness Pun Contest produced
by: Hannah R Abrams MS3
Hosts: Matthew Watto MD, Paul
Williams MD, Stuart Brigham MD
Edited by: Matthew Watto
Guest: Pascale Khairallah
MD, Charlie Wray DO, Joel Topf MD
Nephmadness pun contest
Intro to the show and NephMadness, guest bios
Joel explains NephMadness
Guest book recommendations and career advice
Clinical case; goals of fluid resuscitation; choice of initial IV
- Corporate (TV series) Comedy
Complications of normal saline
Colloids versus crystalloids
versus normal saline is not an innocuous decision
Saline versus balance fluids. What’s the makeup?
Does lactated ringers elevate lactate?
Is hyperkalemia a contraindication for LR?
Lactated ringers versus plasma-lyte and cost of fluid
In vitro risks of normal saline
SMART and SALT-ED trial
Stuart finds the IV fluid price list
Each panelist weighs in on saline versus balanced
Why do patients with metabolic alkalosis thrive on