Remove 2020 Remove Poisoning Remove Resuscitation
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ECG Blog #436 — Bigeminy or Alternans?

Ken Grauer, MD

Certain drug overdoses ( Aconitine poisoning, severe caffeine poisoning ). Despite prolonged resuscitation with multiple defibrillation attempts — the patient could not be saved. = See My Comment in the June 1, 2020 post in Dr. Smith's ECG Blog — for review of Pleomorphic VT. Acute Myocarditis.

EKG/ECG 401
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emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

A 2020 Cochrane review found the pooled sensitivity was 65%. Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. Start resuscitating with fluids, and add a vasopressor like norepinephrine. Published 2020 Jun 11. Do not rely on this to rule out bacterial meningitis.

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REBEL Core Cast 103.0 – Caustic Ingestions

RebelEM

Clinicians are encouraged to call their local regional toxicologist and poison control center whenever a caustic ingestion poisoning is suspected. Management Always consider calling your local toxicologist or regional poison control center, as even substances with a neutral pH may have caustic potential. N Engl J Med.

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Chemical Burns

Mind The Bleep

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications. 2019.00647.

Burns 52
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ToxCard: Benzonatate

EMDocs

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s.

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The Toxic Shelf

Cook County EM Blog

As resuscitation measures are underway, you obtain collateral from EMS and parents. If the patient does not respond to resuscitative measures, cardiopulmonary bypass and extracorporeal membrane oxygenation may be considered. Early consultation with the poison center is prudent. Retrieved 22 April 2020. 28 June 2019.

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Etomidate: a perspective on a current controversy.

Thinking Critical Care

This hypovolaemic shock state was to be maintained for one or two hours before the shed blood was retransfused and the effect of experimental drugs on resuscitation could be tested. [11] I do not recall one experiment getting as far as the resuscitation stage. We did not achieve a publishable consensus until 2020. 311:1137-43.

Shock 40