EMJCC with Spoilers

Contrast-Induced Nephropathy

Vitals & Useful Links:

We’re back! The EMJC crew is back together for Season 2 in 2021, bringing you more cases with better audio quality AND our recently launched website: emjccast.com. In our first episode back, Arman (MS4) leads Kyle (MS4), Pranav (MS4), and Pranav’s clicky pen through a case of a female presenting with chest pain. How would you approach this case? As always, we learn a couple very important points about chest pain and some relevant diagnostics. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.

*****EPISODE SPOILERS BELOW*****

Here’s Arman’s article on AKI after CT
Aycock, R. D., Westafer, L. M., Boxen, J. L., Majlesi, N., Schoenfeld, E. M., & Bannuru, R. R. (2018). Acute kidney injury after computed tomography: a meta-analysis. Annals of emergency medicine, 71(1), 44-53.

NS, LR, and sodium bicarb for preventing contrast-induced nephropathy
Pakfetrat, M., Malekmakan, L., Salmanpour, Z., Nikoo, M. H., & Izadpanah, P. (2019). Comparison of Normal Saline, Ringer’s Lactate, and Sodium Bicarbonate for Prevention of Contrast-induced Nephropathy in Patients with Coronary Angiography: A Randomized Double-blind Clinical Trial. Indian journal of nephrology, 29(1), 22–27.

Sodium Bicarb and Acetylcysteine to prevent AKI
Weisbord, S. D., Gallagher, M., Jneid, H., Garcia, S., Cass, A., Thwin, S. S., … & Palevsky, P. M. (2018). Outcomes after angiography with sodium bicarbonate and acetylcysteine. New England Journal of Medicine, 378(7), 603-614.

American College of Radiology and National Kidney Foundation consensus statement on IV contrast media use in CKD
Davenport, M. S., Perazella, M. A., Yee, J., Dillman, J. R., Fine, D., McDonald, R. J., … & Weinreb, J. C. (2020). Use of intravenous iodinated contrast media in patients with kidney disease: consensus statements from the American College of Radiology and the National Kidney Foundation. Radiology, 294(3), 660-668.

Prophylactic hydration to prevent contrast-induced nephropathy
Nijssen, E. C., Rennenberg, R. J., Nelemans, P. J., Essers, B. A., Janssen, M. M., Vermeeren, M. A., … & Wildberger, J. E. (2017). Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): a prospective, randomised, phase 3, controlled, open-label, non-inferiority trial. The Lancet, 389(10076), 1312-1322.

Vitamin D insufficiency in radiologists
Agten, C. A., Margaroli, L., Bensler, S., Fritz, B., Rosskopf, A. B., Held, U., & Pfirrmann, C. W. (2018). Prevalence of vitamin D insufficiency in radiologists: a cross-sectional study. Skeletal radiology, 47(7), 981-988.

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong – if you notice this, please email us at emjccast@gmail.com.

Intro Music: “Walk Through the Park” by Track Tribe