Episode 65 - Contrast Induced Nephropathy and Genitourinary Trauma

Published: Feb. 28, 2017, 1:19 a.m.

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We cover Free Open Access Medical Education (FOAM) on Contrast-Induced Nephropathy (CIN). \\xa0Recent interes

The American College of Radiology (ACR)\\xa0Manual on Contrast Induced Nephropathy

This Emergency Medicine Literature of Note post covers the AMACING\\xa0 trial, which looks at intravenous fluid administration (0.9% NaCl) versus usual care in patients "at risk" for CIN undergoing contrast-enhanced CT scan. \\xa0 The study found a difference of -0.1% (95% CI -2.25 to 2.06), which was below the non-inferiority margin.\\xa0Prior literature shows similar results, with no clear-cut efficacy from prevention strategies for CIN.

This post by Dr. Joel Topf (nephrologist @kidneyboy) on the Precious Bodily Fluids blog\\xa0discusses a nephrologist\'s take on CIN.

EM topics post on fluids in CIN.

Core Content

We then delve into core content on genitourinary trauma using Rosen\\u2019s Chapter 47 and Tintinalli\\u2019s Chapter265 as a guide.

Thanks for listening!
Jeremy Faust and Lauren Westafer

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