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ToxCard: Iron

EMDocs

Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. 6 Severe toxicity and shock are typically seen with serum iron concentrations above 500 g/dL and serum iron concentrations above 1000 g/dL are associated with significant mortality. 2005 Jun;159(6):557-60.

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emDOCs Podcast – Episode 96: Lower GI Bleeding

EMDocs

shock index > 1, evidence of poor systemic perfusion). 2005 Jun 1;21(11):1281-98. Red Blood Cell Transfusion: 2023 AABB International Guidelines. Restrictive versus liberal blood transfusion for gastrointestinal bleeding: A systematic review and meta-analysis of randomised controlled trials.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. A whole blood transfusion is initiated for the management of her anemia. Power and sensation are grossly intact and tendon reflexes are normal.