from the other thread.

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HCo3 or no HCo3 when the sh it hits the fan


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militarymd

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Bicarb or no Bicarb....when the s hit hits the fan.

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The only time I use it is when I am not getting any response from the pressors any longer. I could be wrong but I have never heard a good argument for it and I am open to any opinions. Personally, I like fluids for acidosis in trauma and THAM if really needed.

Notice that the options are 1) I give it, and 2) I worry about intracellular acidosis. It doesn't say 1) I give it and 2) I don't give it. So in reading this, my answer is 2 (I worry about intracelluar acidosis), but I still give it from time to time.
 
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