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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. McGraw Hill; 2016.

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

of exposures reported to poison control centers in 2021 were related to antipsychotics or sedative-hypnotics with the majority of those exposures occurring in patients 20 years of age or older. Consult a medical toxicologist or regional poison control (at 1-800-222-1222 in the United States). 2016 Dec;54(10):899-923.

Poisoning 111
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emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. 2016 Jun;72 (6):768-769]. Bacterial Meningitis Mimics: Other flu-like illnesses: COVID, influenza, toxic shock syndrome, myocarditis, endocarditis, spinal epidural abscess, pneumonia. Consider cryptococcus meningitis in these patients.

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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. 2016 Aug;23(8):878-84. Epub 2016 Aug 1. Acad Emerg Med.

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When Do Pediatric Ventriculoperitoneal Shunts Fail?

ACEP Now

A 2016 multicenter prospective study evaluated 1,036 pediatric patients for shunt failure who received CSF shunts over a four-year period. Dr. Cantor is the emeritus medical director for the Central New York Poison Control Center and professor of emergency medicine and pediatrics in Syracuse, N.Y. percent (40 of 336 children).

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Case Report: A Child with a Rash and Lead Poisoning History

ACEP Now

Incidentally, the day after ED visit number one, the mother was called by the child’s pediatrician advising her to bring him for evaluation of lead poisoning. In the emergency department, consultations were made with the regional poison-control center and the regional lead center. Discussion Lead poisoning is a serious health concern.

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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. 2016 Jul;54(6):519-22. Epub 2016 Apr 27. Clin Toxicol (Phila). 2015;53(10):941-949. Epub 2014 Aug 18.