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. Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. This stage does not always occur. 2 L/hr in adults. Tenenbein M.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

EMDocs

NOVEMBER 19, 2024

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

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 111

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. 2016 Aug;23(8):878-84. Epub 2016 Aug 1. Fun fact for animal lovers!-

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EMDocs

MARCH 4, 2025

Bacterial Meningitis Mimics: Other flu-like illnesses: COVID, influenza, toxic shock syndrome, myocarditis, endocarditis, spinal epidural abscess, pneumonia. Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. 2016 Jun;72 (6):768-769]. 2016;72(4):405-438.

Infectious Diseases 83

Infectious Diseases Seizures Poisoning Sepsis 83

ALiEM

FEBRUARY 20, 2024

Poisoning by sodium channel blocking agents. Flecainide poisoning and prolongation of elimination due to alkalinization. 2016 Mar;12(1):121-9. The American College of Medical Toxicology hosts this Toxicology Visual Pearls series. The post was peer reviewed on behalf of ACMT by Drs. Bryan Judge, Louise Kao, and Josh Radke.

Shock 73

Shock EKG/ECG Poisoning Burns 73

EMDocs

JUNE 25, 2024

Systemic poisoning from inhaled toxins, obstruction of the upper airway from heat injury and edema, and chemical injury to the lower respiratory system from smoke inhalation. If the patient is altered after smoke exposure in an enclosed spaced, consider carbon monoxide or cyanide poisoning. 2016 Aug;42(5):953-1021.

Burns 97

Burns Fluid Resuscitation Resuscitation Poisoning 97

EMDocs

JANUARY 4, 2024

Cardiogenic shock and hypotension can occur (systolic heart failure with reduced ejection fraction.) 10,12 Refractory shock or malignant arrhythmias occur in < 5% of patients. 6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Wu P, Juurlink D.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92