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Summer Penile Syndrome

Pediatric EM Morsels

2014 Jan;46(1):e21-2. Summer Penile Syndrome consists of painless pruritus with circumferential edema of the distal penile shaft just proximal to the glans Basics are the Best! Treatment is supportive. References: Schulert GS, Gigante J. Summer penile syndrome: an acute hypersensitivity reaction. J Emerg Med. doi: 10.1016/j.jemermed.2013.08.081.

Poisoning 278
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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. doi: 10.1136/archdischild-2014-306851. Epub 2014 Sep 8.

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Snake Bites and Children

Pediatric EM Morsels

Call your friends … at the Poison Center! Your state poison center and local toxicologists are a wealth of knowledge and help for management and treatment. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S. in wetlands, rivers, and lake areas Coral snakes inhabit the southern U.S. Basics are best!

CDC 130
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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: 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. 2014 Sep-Oct;52(8):856-67. Epub 2014 Aug 18. Clin Toxicol (Phila). 2015;53(10):941-949.

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emDOCs Podcast – Episode 91: Marine Envenomation and Trauma

EMDocs

Philadelphia: Elsevier Saunders; 2014:805-807. Food Poisoning. Poisoning, Envenomation, and Trauma from Marine Creatures. Venomous Marine Animals. In: Marx JA, Hockenberger RS, Biros MH, et al., Rosen’s Emergency Medicine: Concepts and Clinical Practice (2 Volumes). link] Blohm E, Brush D. Emergency Medicine Journal.

Poisoning 105
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Toxic Alcohols

Northwestern EM Blog

Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, the toxic metabolites of ethylene glycol cause end-organ damage at levels greater than 20mg/dl.