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ToxCard: Organic Mercury Poisoning

EMDocs

Diagnosis and Management: Whole blood mercury concentrations are the most useful for diagnosis of organic mercury poisoning, as organic mercury undergoes little urinary excretion. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast. Adverse Drug React Acute Poisoning Rev. Am J Cardiol.

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ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On

ALiEM

Lily of the valley poisoning is important to recognize because it presents as digitalis toxicity [3]. ouabain, poison rope) Asclepias spp. 2, 5] Poisoning from plant cardiac glycosides causes reversible inhibition of sodium-potassium ATPase, which increases cardiac inotropy and automaticity. [2, The entire plant is toxic.

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ToxCard: Iron

EMDocs

In the late 1990s, iron was the leading cause of poisoning deaths reported to poison control centers for children less than 6 years of age. 2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. Radiology in the management of acute iron poisoning. 2 L/hr in adults.

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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.

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Annals of B Pod - Opioid-Associated Hearing Loss

Taming the SRU

Opioid-Associated Hearing Loss: A 20-Year Review from the New Jersey Poison Center. 2003 May 27;168(11):1421-3. Oxymorphone Insufflation Associated with Acute Sensorineural Hearing Loss: Case Files of the University of Massachusetts Medical Toxicology Fellowship. Journal of Medical Toxicology. 2013;9(2):179-183. 2020;16(4):416-422.

EKG/ECG 52
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

2) Hypoxia, including poisons of oxidative phosphorylation such as HS, CO, CN. 3) Anemia, or poisons of hemoglobin such as methemoglobin or CO 4) Fixed coronary stenosis that limits flow. N Engl J Med 2003; 348:1756-1763, 5/1/2013. Hypotension may of course be a result of a brady- or tachydysrhythmia. Khot, MD; et al.

EKG/ECG 40
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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. 2003 Jul;40(7):620-5. When is it useful and what does it tell us?