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ToxCard: N-Acetylcysteine for Acetaminophen Toxicity

EMDocs

IV is usually recommended due to faster onset, ease of administration, and shorter protocol duration. These local protocols vary from the labeled dosing; contacting and using your local poison center’s protocol is recommended. Extracorporeal treatment for acetaminophen poisoning: recommendations from the EXTRIP workgroup.

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Dantrolene for Malignant Hyperthermia

Resus Review

Following the initial dose administration, if symptoms are not improving, continuing to administer up to 10 mg/kg is also recommended. Sterile phlebitis may follow administration of dantrolene, and should be infused through the largest possible vein. Dantrolene may also be useful in life-threatening cases of dinitrophenol poisoning.

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ToxCard: Diethylene Glycol

EMDocs

In mass poisoning cases, DEG has been substituted as a solvent in oral medications and in topical medicinal products. 4 Despite the policy changes in the United States, epidemic poisonings involving DEG continue to impact adults and children on a global scale with 14 mass poisonings occurring since the Sulfanilamide Disaster.

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ToxCard: Benzonatate

EMDocs

The US Food and Drug Administration (FDA) approved benzonatate in 1958 for cough relief in patients ≥ 10 years. 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, It is rapidly absorbed with an onset of 15-20 minutes and duration of up to 8 hours. (7)

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The Toxic Shelf

Cook County EM Blog

This subsequently led the FDA to issue a Black Box Warning in 2010 which warned that the capsules resemble candy and may be visually appealing to young children. Early consultation with the poison center is prudent. Food and Drug Administration (FDA). Bishop-Freeman, Erin M. Shonsey, Laura W. Friederich, Michael C. 28 June 2019.

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Carbon Dioxide As A Resuscitative Gas

Advanced Emergency Nursing from AENJ

Even after no longer having a role in resuscitation, CO2 was advocated for accelerating clearance of carbon monoxide poisoning into the 1950s and 1960s. Davies reported in the British Medical Journal of " A simple portable apparatus for the therapeutic administration of carbon dioxide." In 1927, H.W. Biographical Memoirs, V.

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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

Nachi: And don’t forget our peer reviewers this month, Dr. Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. Jeff: What a team! But, let’s get back to the snakes.