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Life as a Certified Emergency Physician Assistant

Payal Shah, PA-C, EMPA Choosing A Specialty Life as a certified emergency physician assistant takes dedication to our specialty, time to prepare for, and an exam to become certified. It was the best decision of my career. I knew after my emergency rotation that I wanted to practice emergency medicine. After I graduated I moved … Read more

My Journey with Charcot Marie Tooth disease

Charcot Marie Tooth

My name is Kelsey Bates and I am a family nurse practitioner. I wanted to turn the tables abit in this blog post, from being a provider to being the patient, and share my story of having Charcot Marie Tooth (CMT). Growing up, I’d say I had a normal, healthy childhood, until I hit the … Read more

How to Treat Chest Pain and Bradycardia

Chest Pain and Bradycardia

Rich Greene, PA-C EM Be Still my Beating Heart: Nitro vs Atropine in Bradycardia Case Presentation: A 55 y/o male presents to the Emergency Department with 1 hour of chest pain.  His initial EKG shows a sinus rhythm with a rate of 45 and no ST elevations or depressions. What is your diagnostic approach and … Read more

Types of Shock and Therapeutic Interventions

The four types of shock and therapeautic interventions discussed in detail.

Do you know the four types of shock and how to manage shock patients based on they type of shock they are in? If shock patients are not routine in your practice, this review will re-familiarize you with them and the therapeutic interventions recommended for treatment. What are the four types of shock? Shock is … Read more

Euglycemic Diabetic Ketoacidosis: A Case Study

Euglycemia Diabetic Ketoacidosis: A Case Study

DKA and SGLT-2 inhibitors

One of the greatest aspects of medicine that I enjoy is a continual process of learning. We must continue to grow in our profession, seeking knowledge and experience as much as possible. One such incident occurred recently while on shift… and talk about being a little late to the party! In 2015, the US food and drug administration issued a drug safety communication that warned of an increased risk of DKA with uncharacteristically mild to moderate to glucose elevations (euglycemic DKA). This warning was based on diabetic medications involving SGLT-2 inhibitors. In fact this was based on 20 clinical cases requiring hospitalization captured between March 2013 and June 2014 in the FDA adverse event reporting system database. SGLT-2 inhibitors first came into market in 2013.  What are SGLT-2 inhibitor medications?

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