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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. 2017 Jul 1;176:63-70. Epub 2017 May 10. Grundmann O. 2017.03.007.

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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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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. Interrater reliability of Glasgow Coma Scale scores in the emergency department.

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Annals of B Pod: Social EM Corner- Suicide Related Behaviors

Taming the SRU

In conjunction with the Drug and Poison Information Center (DPIC), intravenous methylene blue was initiated for suspected methemoglobinemia with moderate improvement of her symptoms over the next hour, including return of baseline mental status and resolution of hypoxia. Despite supplemental oxygen, she remained hypoxic. of deaths worldwide.[1]

EMS 97
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Case Report: A Patient With a Fishy Story

ACEP Now

A 41-year-old woman arrived in a Hawaii emergency department with her husband early in the morning. Ciguatera fish poisoning, a foodborne illness caused by consuming reef fish contaminated with ciguatoxins, is characterized by a combination of gastrointestinal, neurological, and cardiovascular symptoms. Treatment is symptomatic.

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Episode 36 - Diagnosis and Management of Acute Gastroenteritis in the Emergency Department

EB Medicine

No 1996 AAP guidelines, 2016 ACG guidelines, and 2017 IDSA guidelines all note diarrhea illness but may be vomiting predominant. not ED specific) Food poisoning is responsible for 5% of AGE but results in 30% of deaths. Acute Gastroenteritis- Author: Dr. Brian Geyer Introduction: Do both vomiting and diarrhea have to be present?

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ToxCard: Bupropion

EMDocs

6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Case Follow-up: The patient required a dose of lorazepam in the emergency department. Eds (2017). Evidence-based reommendations on the use of intravenous lipid emulsion therapy in poisoning.