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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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Does Acrocyanosis Indicate Underlying Bacterial Illness?

ACEP Now

A separate 2017 prospective observational study by de Vos-Kerkhof, et al., Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington. BMC Emerg Med. This study did not suggest that abnormal capillary refill (a scenario similar to acrocyanosis) predicts SBI. 2014;14:24.

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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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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 98
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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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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.