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Quantitative Acid-Base: A Simplified Approach for the Emergency Physician
Rory Spiegel1, David Gordon2, Shane Kappler2
1Department of Emergency Medicine, MedStar Washington Hospital, Washington, D.C.; Department of Critical Care, MedStar Washington Hospital, Washington, D.C..
Background:
A deep understanding regarding acid-base physiology has been generally absent from what is considered the skill set of Emergency clinicians. The calculations needed to obtain a solid comprehension of acid-base are thought to be too complex and time consuming, making them impractical for the chaotic environment of the Emergency Department.
Objectives:
Make acid-base more approachable and accessible for the Emergency Physician.
Discussion:
We present a simplified approach to quantitative acid-base, allowing clinicians to gain a general understanding of even the most complex acid-base abnormalities with minimal calculations and often with only the use of a basic chemistry profile.
Conclusions:
With the utilization of a simplified quantitative acid-base model Emergency Physicians can gain a better understanding of their patients' acid-base physiology.
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