Air Medical Journal
Volume 26, Issue 1 , Pages 13-17 , January 2007

An acidosis and electrolyte dilemma: Conclusion

  • David W. Ross, DO, FACEP

      Affiliations

    • David Ross, DO, FACEP, is the former medical director of Flight for Life in Colorado Springs, Colorado.
  • ,
  • Carol Wichman, BSN, MSN

      Affiliations

    • Carol Wichman, BSN, MSN, is the former clinical coordinator of the Colorado Springs base of the statewide Flight for Life program.

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 An air ambulance crew was requested by a rural hospital to transport a 64-year-old suspected of being severely septic with hypotension and hypokalemia. The patient was a morbidly obese woman who was diagnosed at the sending facility with metabolic acidosis and renal failure. Her infection was thought to either be due to a urinary tract infection or a result of multiple skin ulcers on the abdominal wall. In an earlier but very recent hospitalization, she had been treated for these skin ulcers with vancomycin.If you have a case that might be suitable as a subject for Case Review, please submit the details to David Ross at drdr0682@aol.com.

PII: S1067-991X(06)00313-0

doi: 10.1016/j.amj.2006.10.007

Air Medical Journal
Volume 26, Issue 1 , Pages 13-17 , January 2007