title: Critical care in the emergency department: acute kidney injury.
abstract: Acute kidney injury (AKI) is common among emergency department patients admitted to hospital. There is evidence of inadequate management of the condition leading to adverse outcomes. We present an illustrative case of AKI complicating a gastrointestinal disorder in an older adult. We discuss the clinical presentation, assessment and management of AKI with reference to recent consensus guidelines on classification and treatment.
authors.affiliation: Faculty of Education, Health and Community, Liverpool John Moores University, Liverpool, UK Department of Emergency and Critical Care Medicine, St Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, Merseyside, UK.
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Nee
authors.affiliation: Department of Emergency Medicine, St Helens and Knowsley Teaching Hospitals NHS Trust, Merseyside, UK.
authors.forename: David J
authors.initials: DJ
authors.lastname: Bailey
authors.affiliation: Department of Biochemistry, St Helens and Knowsley Teaching Hospitals NHS Trust, Merseyside, UK.
authors.forename: Victoria
authors.initials: V
authors.lastname: Todd
authors.affiliation: Department of Nephrology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Lewington
authors.affiliation: Department of Emergency Medicine, Wirral University Hospital, Merseyside, UK.
authors.forename: Andrea E
authors.initials: AE
authors.lastname: Wootten
authors.affiliation: Intensive Care Unit, St Helens and Knowsley Teaching Hospitals NHS Trust, Merseyside, UK.
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Sim
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000628:therapy*; D000368:Aged; D015897:Comorbidity; D032921:Consensus; D003422:Critical Care / Q000379:methods*; D004636:Emergency Service, Hospital; D005767:Gastrointestinal Diseases / Q000150:complications; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic
keywords: clinical care; emergency department; intensive care; uro-genital; x-ray