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Chemical Burns

Mind The Bleep

Chemical burns are a unique subset of burns that require specialised management due to the nature of the substances involved. The majority of acid burns cause coagulative necrosis and cytotoxicity leading to skin and mucosal changes that limit deeper injury. Keep the patient warm using force air warmers such as Bairhugger.

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emDOCs Podcast – Episode 92: Marine Ingested Poisons and Infections

EMDocs

Alexis takes us through marine ingested poisons and infections. Accessed August 28, 2022. Accessed August 25, 2022. Food Poisoning. Accessed August 28, 2022. McGraw Hill; 2022. Accessed August 27, 2022. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 9e. McGraw Hill; 2020.

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What Causes Carbon Monoxide Poisoning?

Medical Law

According to the CDC, over 400 people die every year from unintentional Carbon monoxide poisoning. Carbon monoxide (CO) is a poisonous gas that can be fatal when inhaled. CO is produced whenever a material burns. If you suspect CO poisoning, exit the premises and contact the fire department right away. CO has no odor.

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emDOCs Podcast – Episode 91: Marine Envenomation and Trauma

EMDocs

Possible early antibiotic treatment Minor Marine Trauma Mechanism: Bites, Stings, Nematocysts Envenomation Presentation: All can cause localized pain, erythema, and warmth Dermatologic: Urticaria, burning, pruritus, localized paresthesia. Accessed August 25, 2022. Accessed August 25, 2022. McGraw Hill; 2022.

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ACMT Toxicology Visual Pearls: A Meal Worth Dying For

ALiEM

There is increasing frequency of human poisonings from ingestion of tetrodotoxin-containing pufferfish in less traditional areas, including multiple countries in the Mediterranean as well as the US, Australia, New Zealand, and Spain [5-7]. What is the clinical presentation of tetrodotoxin poisoning following pufferfish ingestion? [4,

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Beyond the Burns: Toxic House Fire Gases

Northwestern EM Blog

The post goes into detail on the pathophysiology, signs, symptoms, and diagnosis of both carbon monoxide and cyanide poisonings, so this commentary will focus on the clinical approach. An elevated lactic acid is a surrogate for cyanide poisoning, specifically a level of 8-10 mmol/L or greater is sensitive and should prompt intervention.

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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Poisoning by sodium channel blocking agents. Flecainide poisoning and prolongation of elimination due to alkalinization. 2022 Jun;56:394.e1-394.e4. Epub 2022 Mar 9. Bruccoleri RE, Burns MM. The American College of Medical Toxicology hosts this Toxicology Visual Pearls series. Crit Care Clin. 1997 Oct;13(4):829-48.

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