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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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Medical Malpractice Insights – Warfarin is poison – and not just for rats

EMDocs

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Warfarin is poison – and not just for rats Spinal epidural hematoma leaves patient paralyzed Facts : A 68-year-old male presents to the ED at the end of the night shift complaining of a 2 day history of 8/10 neck pain radiating to his upper back and increasing with movement.

Poisoning 100
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ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On

ALiEM

Lily of the valley poisoning is important to recognize because it presents as digitalis toxicity [3]. ouabain, poison rope) Asclepias spp. 2, 5] Poisoning from plant cardiac glycosides causes reversible inhibition of sodium-potassium ATPase, which increases cardiac inotropy and automaticity. [2, Elsevier; 2017.

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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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ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?

ALiEM

Although poisoning by ingestion of cyanogenic foods is much more common in tropical countries, there have been reported cases in the US [1, 3]. What are the symptoms of cyanide poisoning? How to you treat cyanide poisoning? [1, Hydroxocobalamin is the preferred antidote for cyanide poisoning. Journal of Acute Disease.

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Case Report: A Patient With a Fishy Story

ACEP Now

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. 3 If water temperatures continue to rise, the distribution of ciguatera poisoning may change. Ciguatera poisoning.

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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. When is it useful and what does it tell us?