Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


Hyponatremia and SAH

  • 3% normal saline often corrects hyponatremia too quickly and may cause central pontine myelinolysis; reserve it for seizures, severe AMS, and coma.
  • Subarachnoid hemorrhage may still respond to compazine.  In the patient that refuses LP, consider CTA of the head to find small aneurysms.