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Establishment of an Extracellular Acidic pH Culture System

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A Recipe for Disaster - Sodium Bicarbonate Overdose.

Adeola A Kosoko¹, Amara Ogoke¹, Kyle Vogt²

¹University of Texas Health Science Center at Houston, McGovern School of Medicine, Department of Emergency Medicine, Houston, TX.

Journal of Education & Teaching in Emergency Medicine

|August 6, 2025

Summary

This summary is machine-generated.

This study highlights the importance of recognizing and managing sodium bicarbonate toxicity, a rare but serious condition. Emergency medicine residents found this oral board case effective for learning about this critical toxicology scenario.

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Area of Science:

Emergency Medicine
Toxicology
Internal Medicine

Background:

Sodium bicarbonate is widely used in households and prescribed by physicians.
Ubiquitous exposure necessitates preparedness for identifying and managing sodium bicarbonate toxicity.
Acute overdose can lead to severe metabolic alkalosis.

Purpose of the Study:

To prepare emergency medicine residents to identify and manage sodium bicarbonate toxicity.
To enhance learners' ability to obtain relevant patient histories, interpret findings, and administer appropriate treatment.
To provide a safe learning environment for exploring a rare acid-base imbalance.

Main Methods:

A case study was presented in the format of the American Board of Emergency Medicine oral certification examination.
Learners engaged in evaluating, working up, and managing a simulated case of sodium bicarbonate toxicity.
Post-case debriefing and feedback were collected using Google Forms.

Main Results:

Twenty-six residents and five faculty participated.
Post-case, 13 residents reported increased familiarity (Likert scale 4-5) with diagnosing and managing sodium bicarbonate toxicity.
Residents found the case challenging but valuable for applying core concepts to a rare presentation.

Conclusions:

The oral board case effectively improved residents' familiarity with sodium bicarbonate toxicity.
This educational method is beneficial for learning rare patient presentations, diagnoses, and management strategies.
The case successfully integrated core content and basic patient care concepts for practical application.