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ToxCard: Benzonatate

EMDocs

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

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Annals of B Pod: Social EM Corner- Suicide Related Behaviors

Taming the SRU

PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic. Published 2010.

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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: PNU (Vacor)

EMDocs

When should I suspect PNU poisoning? How do I treat PNU poisoning? Background: N-3-pyridylmethyl-N-p-nitrophenylurea (PNU, Pyrinuron, Pyriminil) was released in 1975 as a “safe” poison to use against mice resistant to anticoagulant rodenticides.¹ Fortunately, PNU poisoning is rare. Elsevier; 2010:2153-2217.

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ToxCard: N-Acetylcysteine for Acetaminophen Toxicity

EMDocs

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. 2010 Aug;48(7):770]. Clin Toxicol (Phila). 2015;53(10):941-949. Clin Toxicol (Phila). Epub 2014 Aug 18.

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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. 2010; 48(8):800-5 Robinson S. Accessed 12/18/2022. Clin Toxicol (Phila).

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The Toxic Shelf

Cook County EM Blog

As resuscitation measures are underway, you obtain collateral from EMS and parents. Upon EMS arrival, the patient was in cardiac arrest. EMS shows you the prescription bottle with a handful of capsules remaining. Early consultation with the poison center is prudent. Bishop-Freeman, Erin M. Shonsey, Laura W.