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. Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

EMDocs

MARCH 4, 2025

Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. Start resuscitating with fluids, and add a vasopressor like norepinephrine. 2016 Jun;72 (6):768-769]. Can be a smoldering infection in patients with immunocompromising conditions. Consider cryptococcus meningitis in these patients.

Infectious Diseases 83

Infectious Diseases Seizures Poisoning Sepsis 83

EMDocs

JUNE 25, 2024

Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion. Calculating fluid resuscitation: Parkland formula: 4 mL X % TBSA X weight in kilograms. 2016 Aug;42(5):953-1021. Total amount over 24 hours.

Burns 97

Burns Fluid Resuscitation Resuscitation Poisoning 97

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s.

Poisoning 89

Poisoning Seizures Pediatrics EMS 89

EMDocs

JANUARY 4, 2024

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. 2016 May;181(5):482-7. Accessed 12/18/2022. Clin Toxicol (Phila). Wu P, Juurlink D.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

Northwestern EM Blog

MAY 2, 2022

The post goes into detail on the pathophysiology, signs, symptoms, and diagnosis of both carbon monoxide and cyanide poisonings, so this commentary will focus on the clinical approach. An elevated lactic acid is a surrogate for cyanide poisoning, specifically a level of 8-10 mmol/L or greater is sensitive and should prompt intervention.

Burns 52

Burns Poisoning EKG/ECG Operations 52

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 2x maintenance rate

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89