Don't Forget the Bubbles

JANUARY 17, 2024

After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Pediatric Orbeez ingestions reported to Texas poison centers.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

EMDocs

JANUARY 17, 2024

8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 10) A systematic review of severe benzonatate poisonings published in 2021 demonstrated survival in greater than 60% of patients. (10) 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

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Poisoning Seizures Pediatrics EMS 81

EMDocs

DECEMBER 19, 2023

McGraw Hill; 2020. 2020, September 26) EM@3AM: Marine Animal Bites and Stings. Food Poisoning. Poisoning, Envenomation, and Trauma from Marine Creatures. Marine Trauma and Envenomation. In: Tintinalli JE, Ma O, Yealy DM, Meckler GD, Stapczynski J, Cline DM, Thomas SH. Accessed August 25, 2022. link] Edward OJ.

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Poisoning Seizures Anaphylaxis Burns 105

EMDocs

FEBRUARY 15, 2024

Diagnosis: Clinical exam findings, in combination with a thorough history help to make the diagnosis of anticholinergic plant poisoning. 11 Consider consulting a toxicologist or regional poison control center (1-800-222-1222 in the United States) if there diagnostic or management uncertainty. Jimson weed poisoning – a case report.

Hyperthermia / Hypothermia 108

Hyperthermia / Hypothermia Poisoning Seizures COPD 108

ACEP Now

AUGUST 11, 2024

Ciguatera fish poisoning, a foodborne illness caused by consuming reef fish contaminated with ciguatoxins, is characterized by a combination of gastrointestinal, neurological, and cardiovascular symptoms. 3 If water temperatures continue to rise, the distribution of ciguatera poisoning may change. Ciguatera poisoning.

Poisoning 52

Poisoning Infectious Diseases EKG/ECG Emergency Department 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. This should be done continuously for at least 20-30 minutes. Remove contaminated clothing and avoid using neutralizing agents, as they can cause exothermic reactions and further injury [3]. Acute Crit Care.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

JUNE 8, 2024

Posttraumatic Iridocyclitis – Injuries; Poisoning.” 2023, www.merckmanuals.com/professional/injuries-poisoning/eye-trauma/posttraumatic-iridocyclitis?query=Traumatic+Iritis+and+Chemical+Iritis. McGraw Hill, 2020. WikEM , Oct. 2019, wikem.org/wiki/Traumatic_iritis. Murchison, Ann P. PDQ Pediatric Treatment Editorial Board.

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EMS Allergic Reactions Poisoning Emergency Department 96

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

That said — in a patient who develops TdP — the overall ECG appearance of this initial ECG is consistent with low K+ and/or low Mg++ ( See My Comment in the May 9, 2020 post — for more on the ECG diagnosis of hypokalemia and hypomagnesemia ). Figure-1: I labeled the initial ECG in today's case.

Seizures 114

Seizures EKG/ECG EMS Stroke 114

PEMBlog

OCTOBER 19, 2023

Cannabinoid poisoning D. 2020 Jun 5;38:e2018158. doi: 10.1590/1984-0462/2020/38/2018158. Based on his x-ray and abnormal labs, a CT of his abdomen and pelvis was also obtained with one relevant image shown here: A. Hepatic cancer B. Hepatic hemangioma C. Entamoeba histolytica infection E. Rev Paul Pediatr. link] [link]

Urgent Care 52

Urgent Care Pediatrics Poisoning Wellness 52

The Skeptics' Guide to EM

JANUARY 23, 2021

A joint statement on the issue was published in 2020 by AAEM/RSA, ACEP, ACOEP/RSO, CORD, EMRA, and SAEM/RAMS. They also excluded those with a triage level ESI 1 or 5, as these are less common, as well as those with a final diagnosis of injury or poisoning – as in those cases the diagnosis would generally be apparent.

Poisoning 52

Poisoning Research Documentation/Coding Operations 52

Cook County EM Blog

MAY 29, 2023

Early consultation with the poison center is prudent. Retrieved 22 April 2020. Lipid emulsion therapy carries a theoretical benefit given similar structure and toxicity to local anesthetic agents, however, there have not yet been reports on the use of lipid emulsion therapy for benzonatate toxicity. Bishop-Freeman, Erin M.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

Northwestern EM Blog

JUNE 16, 2024

If high suspicion or known overdose, involve and consult your local Poison Center [8]. Sinus Node Dysfunction (Sick Sinus Syndrome) [9-10]: Sick sinus syndrome is most commonly due to aging of the sinus node and surrounding atrial myocytes. It is often associated with severe bradycardia (HR<50 bpm. Circulation , 45 (3), 703–722.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

PEMBlog

APRIL 26, 2023

From 2019 to 2020, the rate of firearm related deaths among children increased by 30%. Denise Dowd, Robert D. Garry Gardner, Kyran P. Quinlan, Michele Burns Ewald, Beth E. Ebel, Richard Lichenstein, Marlene D. Melzer-Lange, Joseph O’Neil, Wendy J. Each year, 3200 children die from firearm-related injuries.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Mind The Bleep

SEPTEMBER 12, 2023

Trisomy 21 (T21) / Prader Willi Congenital infections, TORCH (or SCORTCH ) Acquired infections (sepsis) Peroxisomal disorders, e.g. neonatal adrenoleukodystrophy, Zellwegers syndrome Iatrogenic / poisoning, e.g. benzodiazepines / atracurium Congenital Hypothyroidism Hypoglycaemia Inborn errors of metabolism, e.g. mucopolysaccharidoses, amino acidurias, (..)

Sepsis 52

Sepsis Seizures Poisoning Wellness 52

ACEP Now

JUNE 7, 2023

A quote from Giordano’s 2020 paper about the fig’s leaf is a case in point. The volume and variety of strange, wonderful terms brings me back to the first year in medical school—a straight-up learning curve to try and wrap your head around. Plant leaves are boring, except when it’s a fig leaf.

Burns 52

Burns Research Poisoning 52

Thinking Critical Care

MAY 18, 2023

Should regulatory authorities have done more to prevent the continued use of this poison? We did not achieve a publishable consensus until 2020. 14] N Engl J Med 2008; 358:111-124 DOI: 10.1056/NEJMoa071366 15 Anaesthesia 2020 May. There are post scriptums to this story. 15 I thought it might be impossible. 10.1016/j.jcrc.2023.154317

Shock 40

Shock Research Sepsis Resuscitation 40

EMDocs

JANUARY 4, 2024

In 2020, bupropion was the 18 th most-prescribed medication in the USA. 6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. References: The Top 200 Drugs of 2020. How long should a patient be observed after a bupropion overdose? Accessed 12/18/2022.

Seizures 84

Seizures EKG/ECG Poisoning Shock 84

EMDocs

AUGUST 31, 2023

Poison Control: The F(ab2)ulous Expanded Indication of Anavip | FCEP. link] Blue Ridge Poison Center, University of Virginia Health. Published online November 2020. Research suggests that F(Ab’) 2 antivenom, compared against F(ab) antivenom, may be associated with lower rates of late and recurrent coagulopathy.

Allergic Reactions 92

Allergic Reactions Anaphylaxis Poisoning EMS 92

Intensive Blog

FEBRUARY 9, 2023

Show answer In this case, the history pointed towards mushroom poisoning. Most cases of mushroom poisoning are self-limiting episodes of gastrointestinal upset. There are many different syndromes associated with mushroom poisoning in Australia including cholinergic, hallucinogenic, glutaminergic, disulfram-like and hepatotoxic 3.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

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. C, Organophosphate; 2.

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Poisoning Airway Management Seizures PPE 97

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. CorePendium.

PPE 89

PPE Poisoning Seizures Emergency Department 89

EMDocs

JULY 19, 2023

Diagnosis and Management: Whole blood mercury concentrations are the most useful for diagnosis of organic mercury poisoning, as organic mercury undergoes little urinary excretion. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast. 2020 Aug 15;417:213343. Epub 2020 May 7.

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Poisoning Fluid Resuscitation Administration Seizures 84

Taming the SRU

JANUARY 5, 2025

2020 Sep;142(3):233-241. Epub 2020 Aug 2. An 11-year retrospective review of cyproheptadine use in serotonin syndrome cases reported to the California Poison Control System. The neuroleptic malignant syndrome-a systematic case series analysis focusing on therapy regimes and outcome. Acta Psychiatr Scand. doi: 10.1111/acps.13215.

Hyperthermia / Hypothermia 97

Hyperthermia / Hypothermia Dehydration Psychiatric Poisoning 97

EMDocs

JANUARY 22, 2025

Naloxone in opioid poisoning: walking the tightrope. 2020 Jan;75(1):13-17. Goldfrank L, Weisman RS, Errick JK, Lo MW. A dosing nomogram for continuous infusion intravenous naloxone. Ann Emerg Med. 1986;15(5):566-570. doi:10.1016/s0196-0644(86)80994-5 Clarke SFJ. Emergency Medicine Journal. 2005;22(9):612-616. doi: 10.1136/emj.2003.009613

Seizures 91

Seizures Administration Emergency Department Poisoning 91

Taming the SRU

MARCH 3, 2025

million fires in 2020, with some studies quoting over 500,000 emergency room visits annually for burn and inhalation injuries (4). Tracheobronchial tree Injury to the tracheobronchial tree is most often due to direct chemical irritation and toxic effects of chemicals contained in smoke, or those in poisonous gases or liquid acids (4).

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

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. 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 ). This was written by Hans Helseth. He just graduated from college. Lucky Hans.

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EKG/ECG Poisoning Wellness 117

EMDocs

NOVEMBER 6, 2024

Unusual strychnine poisoning and its treatment: report of eight cases. 2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report. Case report: Survival after deliberate strychnine self-poisoning, with toxicokinetic data. Strychnine poisoning.

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Poisoning Airway Management Dislocations Forensics 95