Saline Overdose Cases (The Doctor's Advocate CME)


The Doctors Company’s data-driven approach enables us to anticipate emerging trends and deliver insights to help our members improve patient safety. Recently, we have identified an increase in the number of malpractice claims involving severe hyponatremia. The recommendations and strategies outlined here can help physicians avoid adverse outcomes in treating patients with this particularly difficult and complex condition.

Course ID #: TDE 18015.0 Issue Date: 12/26/2018 Expiration Date: 12/26/2021


After completing this activity, learners will be able to:

  • Improve communication with team members by being accessible and responsive when contacted about treatment goals or a patient’s condition
  • Provide details on hand-offs or team briefings about patients who have a confusing presentation or deteriorating conditions
  • Build report and stay engaged with specialists who join the case
  • Review documentation to stay abreast of consultant reports, orders, and subtle changes in the patient’s condition


No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests. No commercial support was provided for this activity.


The information and guidelines contained in this activity are generalized and may not apply to all practice situations. We recommend that legal advice be obtained from a qualified attorney for specific application to your practice. The information is intended for educational purposes and should be used as a reference guide only.

Course Developers

Howard Marcus, FACP, Internal Medicine, The Doctors Company Texas Physician Advisory Board Chairman

Julie Hopkins, MA, MBA, Director, Continuing Medical Education, Department of Patient Safety and Risk Management, The Doctors Company

Continuing Education Credit

The Doctors Company is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical educational activities for physicians.

The Doctors Company designates this activity for a maximum of 0.5 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Complies with State Requirements

Please SEE the Federation of State Medical Boards overview of Continuing Medical Education requirements by State. 

Technical Requirements

The activity is best experienced using the most current browser: Firefox, Chrome, Safari, or Microsoft Edge. Internet Explorer is not supported by this platform. All activities featuring audio must have a speaker. To view graphic images and references that appear in separate "pop-up" windows, JavaScript and session cookies must be enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

Contact Us

If you have questions, contact or call 800.421.2368, extension 1243.


Visit our Resource document for this program.