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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

of exposures reported to poison control centers in 2021 were related to antipsychotics or sedative-hypnotics with the majority of those exposures occurring in patients 20 years of age or older. Consult a medical toxicologist or regional poison control (at 1-800-222-1222 in the United States). New York, NY: McGraw-Hill Education; 2019.

Poisoning 111
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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. 1 The choice of GI decontamination should be made with toxicologist / poison control review and recommendation, and possibly including endoscopist input. McGraw Hill; 2019.

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EM@3AM: Traumatic Iritis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 2019, wikem.org/wiki/Traumatic_iritis. Posttraumatic Iridocyclitis – Injuries; Poisoning.” 2023, www.merckmanuals.com/professional/injuries-poisoning/eye-trauma/posttraumatic-iridocyclitis?query=Traumatic+Iritis+and+Chemical+Iritis. Lu, Kevin, et al.

EMS 98
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Glasgow Coma Scale in Children

Pediatric EM Morsels

We had just received a young child from EMS who was post-ictal with decreased mentation. cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! 2019 Jul;20(7):660-666. 2019 Sep;241:112-118. Epub 2019 Apr 22. 2019 Jul;20(7):682-683. doi: 10.1097/PCC.0000000000001938.

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Snake Bites and Children

Pediatric EM Morsels

Judge 2019) Best when given within 4 hours of the bite, but still effective within 24 hours Always give an entire vial of antivenom, never a partial vial. Call your friends … at the Poison Center! Your state poison center and local toxicologists are a wealth of knowledge and help for management and treatment.

CDC 130
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REBEL Core Cast 114.0 – Carbon Monoxide Toxicity

RebelEM

Carbon monoxide poisoning may lead to delayed neurologic sequalae – a constellation of dementia, psychosis, parkinsonism, amnestic syndromes, among other neurologic impairments. Weaver 2002 ) As always, call your local toxicologist or regional poison control center to help determine the need for hyperbaric therapy. N Engl J Med.

Poisoning 105
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ToxCard: Benzonatate

EMDocs

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)