The Skeptics' Guide to EM

FEBRUARY 2, 2019

Date: January 28th, 2019 Reference: Chu DK et al. Date: January 28th, 2019 Reference: Chu DK et al. This study expands upon that investigation to patients with other conditions as well. The Lancet 2018. Guest Skeptic: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. The Lancet 2018.

Poisoning 52

Poisoning Administration Hospitals Sepsis 52

Mind The Bleep

OCTOBER 29, 2024

Alkali burns result in liquefaction necrosis, allowing for deeper tissue injury as well as vascular injury that can lead to both local and systemic toxicity [1]. National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. 2019 Nov;34(4):276-281.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

ACEP Now

MAY 10, 2024

A retrospective study of 34 patients including both children and adults aged 2–78 years, evaluated the duration of EAC FB and its relationship to successful removal as well as complications. A change in clinical practice for aural foreign bodies—what we learnt from the coronavirus disease 2019 pandemic. Otol Neurotol. J Laryngol Otol.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

PEMBlog

APRIL 26, 2023

Kit Carney and Dr. Kristen Humphrey discuss gun violence, its impact on our patients and their families, as well as practical tips on advocating for safe storage of firearms, and how we can support victims of violence. From 2019 to 2020, the rate of firearm related deaths among children increased by 30%. Denise Dowd, Robert D.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

ACEP Now

SEPTEMBER 13, 2023

A multi-institutional, randomized, double-blinded, placebo-controlled trial (the BABY HUG trial) evaluated spleen size as well as serum labs and splenic dye uptake of technetium-labeled sulfur colloid. Bloodstream infections in children with sickle cell disease: 2010-2019. References Cober MP, Phelps SJ. J Pediatr Pharmacol Ther.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Poisoning 40

Pediatric Education

NOVEMBER 12, 2023

weeks was seen for well-care. Bull MJ, Engle WA, The Committee on Injury and Poison Prevention and the Committee on Fetus and Newborn. 2019-1703 Author Donna M. Patient Presentation A former 35 week, appropriate for gestational age male, now 37.5 To view current news articles on this topic check Google News. Pediatrics.

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

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. 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 102

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 102

Pediatric EM Morsels

JULY 21, 2023

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. 2019 Jul;20(7):660-666. 2019 Sep;241:112-118. Epub 2019 Apr 22.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Don't Forget the Bubbles

JANUARY 17, 2024

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. From Mullens et al., Darracq, M.A., Rentmeester, L.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

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

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

Dr. Smith's ECG Blog

JANUARY 23, 2025

He has never been poisoned by the STEMI/NSTEMI paradigm because he has never been to medical school. There is evidence of transmural ischemia of the posterior wall as well. We've reviewed illustrative cases on this subject often ( See My Comment in the September 17, 2020 post and the April 7, 2019 post , among others ).

EKG/ECG 119

EKG/ECG Poisoning Wellness 119

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Regarding my Systematic assessment of ECG #1: There is significant baseline artifact , as well as baseline wander. Keep in mind that your interpretation of the ECGs of your patients is part of the medical record. Over the years, I have found recall of a short LIST of Causes of QT Prolongation to be of invaluable assistance.

Seizures 115

Seizures EKG/ECG EMS Stroke 115

Dr. Smith's ECG Blog

FEBRUARY 18, 2022

Intravascular Neutrophil Activation Due to Carbon Monoxide Poisoning What do you think of this ECG? The assessment of QT intervals in acute carbon monoxide poisoning I was not worried about this ECG. Read more about CO poisoning and cardiac ischemia here (ECG is pasted below): What is the treatment for this subendocardial ischemia?

Poisoning 52

Poisoning EKG/ECG Wellness 52

EB Medicine

AUGUST 1, 2018

Jeff: Because the current DEA controlled substances schedule designations are based on original chemical names, synthetics have gained popularity as manufacturers are able to produce newer compounds and circumvent DEA designation as well as routine urine drug screening tests. Jeff: And the etiology of CHS is not well understood.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

FEBRUARY 1, 2019

Gabrielle Procopio, a PharmD, have done a fantastic job parsing through the literature, which included over 500 abstracts, 89 full text articles, guidelines from ACEP and the American Academy of Neurology, as well as canadian and european neurology guidelines, to summarize the best evidence based recommendations for you all.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40