Sodium Bicarbonate Administration in Severe Metabolic Acidemia: the BICAR-ICU Trial
Jon-Emile S. Kenny MD [@heart_lung]
“What is REAL?”
-Velveteen Rabbit
A 42 year old woman with poorly-controlled type II diabetes is admitted with a severe soft tissue infection of her left lower extremity. She is hypotensive with altered sensorium and she is noted to have a rapidly progressing border of deep, crimson erythema and edema upwards along her …
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