I recently got into a discussion about this on a social media page mostly populated by resuscitation minded folks. Unfortunately, nuanced discussion was beyond the admin. This is a subject that truly needs more study to flesh out. That said, I don't know anyone who thinks blanket "for prolonged resucitation" use if BiCarb is a good idea. What may be reasonable is to treat known or suspected non-anion gap metabolic acidosis patients as a piece of their resuscitation. "Bicarb bad" is incredibly low resolution; BiCarb should be used in specific instances only would be a much higher resolution take.
Old habits die hard, sadly.
That they do. I can think of a number of habits I've had to kill off because of evidence. Pesky science. :)
I recently got into a discussion about this on a social media page mostly populated by resuscitation minded folks. Unfortunately, nuanced discussion was beyond the admin.
This is a subject that truly needs more study to flesh out. That said, I don't know anyone who thinks blanket "for prolonged resucitation" use if BiCarb is a good idea. What may be reasonable is to treat known or suspected non-anion gap metabolic acidosis patients as a piece of their resuscitation.
"Bicarb bad" is incredibly low resolution; BiCarb should be used in specific instances only would be a much higher resolution take.