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ECG Blog #436 — Bigeminy or Alternans?

Ken Grauer, MD

Certain drug overdoses ( Aconitine poisoning, severe caffeine poisoning ). Multifocal vs Polymorphic VT — September 23, 2011 post from Dr. S. Primary Cardiac Tumors and/or Cardiac Metastasis. Andersen-Tawil Syndrome ( = L ong QT Syndrome, Type 7 ). Acute Myocarditis. To Emphasize: Bidirectional VT is rare.

EKG/ECG 404
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ToxCard: Iron

EMDocs

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.

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Complications of Kratom Use

Northwestern EM Blog

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.

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Tasty Morsels of Critical Care 082 | Carbon Monoxide Poisoning

Emergency Medicine Ireland

We’re going to cover a bit of an environmental/tox topic today and look at carbon monoxide poisoning from Oh’s manual chapter 83 on burns. One might be inclined to think that this is the major cause of morbidity and mortality in CO poisoning but in fact this is only a small portion of the problem.

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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. 2011 Apr;48(4):331-2. When is it useful and what does it tell us?

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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. 2011 Jun;49(5):423-5. Clin Toxicol (Phila). 2015;53(10):941-949. Clin Toxicol (Phila). Epub 2014 Aug 18.

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. Pediatric Emergency Care , 31 (6), pp.416-418.