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Complications of Kratom Use

Northwestern EM Blog

Written by: Dean Hayes (NUEM 27) Edited by: Andrew Long (NUEM 25 ) Expert Commentary by: Rafael Lima, MD A mid 20s male presents to the ED after seizure-like activity. Per the patient's partner at bedside, he had a 2-3 minute convulsive episode and the description is consistent with a likely seizure. and Can Kratom cause seizures?

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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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The Toxic Shelf

Cook County EM Blog

Signs and symptoms of toxicity include alerted mental status, seizures, CNS depression, apnea, respiratory failure, hypotension, ventricular dysrhythmias, and cardiac arrest. If a therapeutic dose is chewed, it can lead to bronchospasm, laryngospasm, seizures, and cardiovascular collapse which further reinforces the danger to children.

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Toxicology Answer: The Capsaicin Found in Hot Peppers and Chilis

ACEP Now

8 Seizures and thunderclap headache from reversible cerebral vasoconstriction syndrome have been reported. 2022 annual report of the National Poison Data System® (NPDS) from America’s Poison Centers®: 40th annual report. 2018:bcr-2017- 224085. Capsaicin pepper exposures send about 300-350 people to the hospital annually.

Burns 40
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Seizure in a 30 something

Dr. Smith's ECG Blog

Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. However, cardiac syncope is always a differential diagnosis when someone presents with first time seizures. There are a number of things to look for in an ECG that can hint at arrhythmia as the cause of an apparent seizure.

Seizures 115
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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

She reportedly received a landmark guided peripheral nerve block with bupivacaine and shortly thereafter developed generalized seizures. 1,5] CNS symptoms include: Seizure, coma, altered mental status. [1] 2,9] Benzodiazepines are the first line treatment for seizures. Poisoning & Drug Overdose. mL/kg/min. [2]

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ToxCard: Bupropion

EMDocs

Bupropion lowers the seizure threshold and even at therapeutic doses patients can have seizures. 6 Severe toxicity: Seizures: It is unclear if seizures are caused by bupropion or the active metabolite, hydroxybupropion. 3 Seizures are dose-dependent. 3 Seizures are dose-dependent.