Cook County EM Blog

MAY 29, 2023

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.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

ALiEM

AUGUST 16, 2023

Dyspnea Headache Syncope Coma Seizures How can you diagnose methemoglobinemia? Chemically induced methemoglobinemia from aniline poisoning. 2019, McGraw-Hill Education: New York. 2019, McGraw-Hill Education: New York. West J Med. 1984;140(2):282-286. PMID 6730477 Howland M. Nelson, et al., Nelson, et al., 1703-1712.

Poisoning 52

Poisoning Seizures Administration Pediatrics 52

Mind The Bleep

OCTOBER 29, 2024

National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. These systemic effects can include central nervous system (agitation, seizures , and coma), as well as cardiac ( hypotension and dysrhythmias) [10, 11]. 2019 Nov;34(4):276-281. Epub 2019 Nov 29.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

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

Seizures EKG/ECG EMS Stroke 115

EMDocs

NOVEMBER 19, 2024

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. 1 Seizures may occur due to lowered seizure threshold. 6 Seizures have been observed and are dose-dependent. Juurlink D.

Poisoning 102

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 102

EMDocs

JUNE 7, 2023

2,7 Organophosphate poisonings in agriculturally-centered communities are of public health concern in developing countries. Millions are poisoned, and hundreds of thousands die each year worldwide. Millions are poisoned, and hundreds of thousands die each year worldwide. 7 May lead to respiratory failure.

Poisoning 94

Poisoning Airway Management Seizures PPE 94

EMDocs

APRIL 10, 2024

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. McGraw Hill Companies, Inc; 2019. mL/kg/min. [2]

Advances Cardiac Life Support (ACLS) 105

Advances Cardiac Life Support (ACLS) Seizures EMS Poisoning 105

ALiEM

OCTOBER 4, 2023

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.

Poisoning 78

Poisoning Seizures Hospitals 78

EMDocs

JUNE 14, 2023

Organophosphate poisoning in agriculturally centered communities has developed into a public health concern in developing countries, poisons millions and kills hundreds of thousands each year worldwide and is a reason why understanding organophosphate toxicity has become a critical addition to our knowledge of toxicology.

PPE 82

PPE Poisoning Seizures Emergency Department 82

Taming the SRU

APRIL 17, 2023

Poison centers across the United States receive over 100,000 reports of exposures to toxic plants annually. More serious poisonings typically involve adults who ingest plants in larger quantities for recreational, self-harm, foraging or medicinal purposes (1). Spring has sprung. and so have many species of toxic plants! Decontaminate.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

EB Medicine

AUGUST 1, 2018

Jeff: Medicinally, cannabinoids are currently used in the treatment of chronic pain syndromes, complications of multiple sclerosis and paraplegia, weight loss due to appetite suppression in HIV/aids, chemotherapy-induced nausea and vomiting, seizures, and many other neuropsychiatric disorders.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

FEBRUARY 1, 2019

Jeff: Do consider adding on a venous or arterial carboxyhemoglobin in the right clinical scenario, as CO poisoning represents an important cause of headache you wouldn’t want to miss. Seizures are very common as well. Accessed January 10, 2019. That’s quite a list. For a visual reference, see Table 3 in the print issue.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

EMDocs

JANUARY 22, 2025

These included seizures, delirium, ARDS, hypotension, hypertension, and aspiration. Drug Overdose Deaths with Evidence of Counterfeit Pill Use – United States, July 2019-December 2021. drug seizure data, 2011-2016. Naloxone in opioid poisoning: walking the tightrope. 2019 Jan;26(1):7-15. Epub 2019 Jun 20.

Seizures 84

Seizures Administration Emergency Department Poisoning 84

Taming the SRU

JANUARY 5, 2025

Potential complications include dysrhythmias, respiratory failure, DIC, seizures, and hepatic failure. An 11-year retrospective review of cyproheptadine use in serotonin syndrome cases reported to the California Poison Control System. 2019; 44(2): 327-334. Workup for complications should be initiated on a case by case basis.

Hyperthermia / Hypothermia 97

Hyperthermia / Hypothermia Dehydration Psychiatric Poisoning 97