article thumbnail

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.

article thumbnail

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, 2018 Oct;32(8):e22583.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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. 2018 Jun;128(6):1612-1620. 2018): 192–200. J Neurosurg.

article thumbnail

ACMT Toxicology Visual Pearls: On the Mark

ALiEM

What are the symptoms of nerve agent poisoning? [1, Because of rapid progression, typical symptoms of industrial organophosphate poisoning may not be seen. Therapy for acute nerve agent poisoning: An update. 2018 Jan 5;359(6371):23. Organophosphorus nerve agent poisoning: managing the poisoned patient.

article thumbnail

emDOCs Podcast – Episode 91: Marine Envenomation and Trauma

EMDocs

Food Poisoning. link] Published December 30, 2018. Poisoning, Envenomation, and Trauma from Marine Creatures. Emergency Medicine Journal. 2006;23(7):503-508. doi:10.1136/emj.2005.028456 2005.028456 Fil LJ, Tunik MG. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. McGraw Hill; 2019. link] Yip K.

Poisoning 105
article thumbnail

emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

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. CO toxicity: treat with supplemental oxygen.

Burns 92
article thumbnail

ACMT Toxicology Visual Pearl: Who Doesn’t Like a Nice Rosé?

ALiEM

 PMID 24072332 Baranwal AK, Singhi SC: Acute iron poisoning: management guidelines. 22 Aug 2018. PMID: 29083637 Fernández S, Castro P, Nogué S, Nicolás JM: Acute iron intoxication: change in urine color during chelation therapy with deferoxamine. Intensive Care Med 2014; 40(1):104. PMID Indian Pediatr 2003;40(6):534-40. 

Shock 64