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ACMT Toxicology Visual Pearls: On the Mark

ALiEM

What are the symptoms of nerve agent poisoning? [1, 1, 5] Muscarinic symptoms (Common acronyms SLUDGE or DUMBBELLS) Salivation, emesis, diarrhea, and lacrimation Miosis Seizures Bradycardia, bronchospasm, and bronchorrhea are usually the cause of death. Use benzodiazepines such as diazepam or midazolam for seizures. McGraw Hill.

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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
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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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Assessing the floppy baby

Mind The Bleep

Severe jaundice causing kernicterus may also cause central hypotonia and seizures. Everything Else Examine the abdomen for any organomegaly which can occur in metabolic or storage disorders or SCORTCH infections Look for signs of jaundice which can occur with hypothyroidism or inborn errors or metabolism.

Sepsis 52
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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the August 2018 issue of Emergency Medicine Practice. Nachi: To attain the most up to date information for this article, Dr. Williams searched the PubMed and Cochrane Databases from 1950 to 2018. Jeff: Let’s get started with the pathophysiology.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

7 Check out ToxCard: Nerve Agents by Dr. Sahi & Dr. Santos from July 2018 Organophosphates exert their toxic effects by inhibiting acetylcholinesterase within the synaptic cleft, which leads to accumulation of acetylcholine, with subsequent overstimulation of postsynaptic nicotinic and muscarinic receptors, and a predominant cholinergic effect.

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ToxCard: Organic Mercury Poisoning

EMDocs

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast. 2018, February 1). Resources: S.