EMDocs

DECEMBER 6, 2024

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. 1 The choice of GI decontamination should be made with toxicologist / poison control review and recommendation, and possibly including endoscopist input. 2 L/hr in adults. McGraw Hill; 2019.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

Northwestern EM Blog

FEBRUARY 4, 2025

Poison control was consulted for additional workup due to concern for Kratom toxicity. Although no confirmatory testing is available, poison control believed there was a reasonable likelihood Kratom toxicity contributed to the patients likely seizure. Just over half of these cases required medical intervention.

Seizures 72

Seizures Poisoning Forensics Emergency Department 72

Pediatric EM Morsels

JULY 21, 2023

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. Interrater reliability of Glasgow Coma Scale scores in the emergency department.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Pediatric Emergency Care , 31 (6), pp.416-418. Pediatric Orbeez ingestions reported to Texas poison centers.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

EMDocs

JANUARY 4, 2024

6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Case Follow-up: The patient required a dose of lorazepam in the emergency department. American Journal of Emergency Medicine. 2011; 109: 418-422. Accessed 12/18/2022. Eds (2017).

Seizures 94

Seizures EKG/ECG Poisoning Shock 94

Pediatric Emergency Playbook

JUNE 1, 2016

Is this in an infarction, an infection, a poisoning? Pulmonary embolism in the pediatric emergency department. 2011; Apr 26;123(16):1788-830. 2011; 39:450. Now , we look at contractility. How FAST you FILL the PUMP and SQUEEZE Is there a problem with the PUMP? That is, with contractility? Pediatrics. Circulation.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95