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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). Front Psychiatry. Clinical Toxicol.

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Snake Bites and Children

Pediatric EM Morsels

In the US, the venomous snakes include rattlesnakes , copperheads, cottonmouths/water moccasins , and coral snakes [ CDC, 2021 ] Rattlesnakes live all across the United State s Copperheads inhabit the eastern U.S. If you are managing a snake bite from a snake that does not typically reside in the U.S.,

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Glasgow Coma Scale in Children

Pediatric EM Morsels

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. BMJ Open 2021; 11: e053619. 2021 Jan 1;90(1):21-26.

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Case Report: A Child with a Rash and Lead Poisoning History

ACEP Now

On physical examination, the child was non-toxic, well-nourished, alert, awake, and not in acute distress. Incidentally, the day after ED visit number one, the mother was called by the child’s pediatrician advising her to bring him for evaluation of lead poisoning. Discussion Lead poisoning is a serious health concern.

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

2021 A plain abdominal X-ray shows multiple dilated loops of bo wel. Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. 2021 These beads, once hydrated inside the body, reached considerable sizes. Image adapted from Mullens et al.,

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ToxCard: Crotalid Envenomation Part 1: Management of the Crotalid Envenomation

EMDocs

Treatment of snakebite poisoning. Published online April 2021. Clinical Pearls: Most snake envenomations in the US are caused by pit vipers (crotalidae) and are characterized by local tissue injury and coagulopathic effects Copperhead and cottonmouth ( Agkistrodon sp. Am J Hosp Pharm. 1991;48(10):2190-2196. Published April 15, 2022.

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How Well Does Ultrasound Detect Volvulus in Infants?

ACEP Now

A 2021 systematic review and meta-analysis also explored the diagnosis of malrotation and midgut volvulus via ultrasound. It is important to evaluate for both the position of the SMA in relationship to the SMV as well as for the “whirlpool” sign. The post How Well Does Ultrasound Detect Volvulus in Infants? ANZ J Surg.