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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, New York, NY: Springer; 2007.

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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. When is it useful and what does it tell us?

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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Poisoning by sodium channel blocking agents. Flecainide poisoning and prolongation of elimination due to alkalinization. 2007 Apr;19(2):155-9. The American College of Medical Toxicology hosts this Toxicology Visual Pearls series. The post was peer reviewed on behalf of ACMT by Drs. Bryan Judge, Louise Kao, and Josh Radke.

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Fearsome Foliage - An Overview of Toxic Plants

Taming the SRU

Poison centers across the United States receive over 100,000 reports of exposures to toxic plants annually. More serious poisonings typically involve adults who ingest plants in larger quantities for recreational, self-harm, foraging or medicinal purposes (1). Spring has sprung. and so have many species of toxic plants! Decontaminate.

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ToxCard: Bupropion

EMDocs

6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. An 11-year review of bupropion insufflation exposures in adults reported to the California Poison Control System. Epub 2007 Sep 4. Accessed 12/18/2022. Clin Toxicol (Phila). 2014;52(9):969-72.

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Toxicology Answer: The Capsaicin Found in Hot Peppers and Chilis

ACEP Now

Boca Raton (FL): CRC Press/Taylor & Francis; 2007. 2022 annual report of the National Poison Data System® (NPDS) from America’s Poison Centers®: 40th annual report. Pepper spray injury severity: ten-year case experience of a poison control system. TRPV1 receptors and signal transduction. In: Liedtke WB, Heller S, eds.

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Approach to Shock

Pediatric Emergency Playbook

Is this in an infarction, an infection, a poisoning? 2007; 35:64-8. Now , we look at contractility. How FAST you FILL the PUMP and SQUEEZE Is there a problem with the PUMP? That is, with contractility? Look for signs of cardiac congestion on physical exam. Put the probe on the patient’s chest, and look for effusion. 2013; 17:R246.

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