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ToxCard: Iron

EMDocs

In the late 1990s, iron was the leading cause of poisoning deaths reported to poison control centers for children less than 6 years of age. 6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. McGraw Hill; 2019. Radiology in the management of acute iron poisoning.

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. Zamora et al., Persistent vomiting affected all 43 cases.

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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss. Be sure to look for and treat dehydration, acute renal failure, and rhabdo though. An RCT is underway in Canada on the use of ondansetron versus haloperidol with an estimated completion of July 2019.

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Serotonin Syndrome & NMS

Taming the SRU

An 11-year retrospective review of cyproheptadine use in serotonin syndrome cases reported to the California Poison Control System. 2019; 44(2): 327-334. mg/kg initially followed by 1mg/kg q6hrs Disposition NMS can be very severe and usually requires ICU level care. Nguyen H, Pan A, Smollin C, Cantrell LF, Kearney T. J Clin Pharm Ther.