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ToxCard: Iron

EMDocs

In 1997, the Food and Drug Administration (FDA) mandated unit-dose packaging for all iron-containing products with more than 30 milligrams of elemental iron. 2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. 5 Seizure: IV benzodiazepine first line, barbiturates as second line.

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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

hypertensive emergency, need for thrombolytic administration) [1]. Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. 2003 Nov;42(5):619-26.

Stroke 99
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Toxic Alcohols

Northwestern EM Blog

Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, the toxic metabolites of ethylene glycol cause end-organ damage at levels greater than 20mg/dl. Emerg Med J, 2003.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. Academic Emergency Medicine, 2003 Volume 10, Number 5 539-540. Eur Heart J 2003 May; 24:811-19.

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ToxCard: Organic Mercury Poisoning

EMDocs

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. Food and Drug Administration. Food and Drug Administration. 2003 Oct 30;349(18):1731-7. Resources: S. 2022, February 25).

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Sickle Cell Disease Module

Don't Forget the Bubbles

Do not use pethidine since it can cause seizures and CNS hyperexcitability. Older children and adults usually present with ACS 2-3 days after hospitalisation due to pulmonary infarction (in situ sickling), hypoventilation due to rib infarction (which may be exacerbated by recent narcotic administration) or fat embolism. Ware et al.

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Weaning Sedation in Paediatric Intensive Care

Don't Forget the Bubbles

These include CNS irritability (agitation, seizures, irritability), GI disturbance (nausea, vomiting, diarrhoea), and autonomic symptoms (increased heart rate, high blood pressure, sweating and fever). Duration of drug administration in days e.g. 8 days of midazolam infusion. 4-hourly assessments using a withdrawal observation chart.