SimWars
This post is part of a series developed in preparation for participation in ACEP SimWars. It contains a review of several prominent emergency medicine topics which may be relevant for board preparation. Unless otherwise cited, content is based on HippoEM videos.
- Toxicology
- Dermatologic Emergencies
- Acid-Base Disturbances
- Thyroid Emergencies
- Adrenal/Pituitary Emergencies
- Oncologic Emergencies
- Bleeding Disorders
- Hematologic Emergencies
- Submersion Injury
- Radiation Exposure
- Hypothermia
- Heat Emergencies
- Electrical Injuries
- Bites
- Altitude and Dysbarism
- Pediatric Emergencies
Method
- Primary disturbance (acidemia/alkalemia)
- Primary process (metabolic/respiratory)
- Presence of mixed disorder
- Increase PCO2 of 10, increases HCO3 by 1 (acute) or 3 (chronic)
- Decreased PCO2 of 10, decreases HCO3 by 2 (acute) or 5 (chronic)
- Increase HCO3 of 1, increases PCO2 by 0.7
- Decreased HCO3, add 15, result should equal PCO2 and number after decimal of pH
- Anion gap
Causes
- Anion Gap
- Methanol
- Uremia
- DKA/AKA
- Paraldehyde, propylene glycol
- INH
- Lactate
- Ethylene glycol
- Salicylate
- Non-Anion Gap
- Fistulae
- Ureteral fistulae
- Saline
- Diarrhea
- Carbonic anhydrase inhibitors
- Spironolactone
- RTA
- Metabolic Alkalosis
- Vomiting
- Volume depletion
- Diuretics
- Steroids
- Respiratory Acidosis
- CNS lesion
- Myopathies
- Chest wall abnormalities
- Obstructive lung disease
- Respiratory Alkalosis
- Anxiety
- Fever
- Hyperthyroidism
- Hypoxia
- Sympathomimetic