EMDocs

SEPTEMBER 7, 2023

In mass poisoning cases, DEG has been substituted as a solvent in oral medications and in topical medicinal products. 4 Despite the policy changes in the United States, epidemic poisonings involving DEG continue to impact adults and children on a global scale with 14 mass poisonings occurring since the Sulfanilamide Disaster.

Poisoning 94

Poisoning CDC Administration Emergency Department 94

Emergency Medicine Cases

OCTOBER 11, 2022

The post EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM appeared first on Emergency Medicine Cases.

Poisoning 52

Poisoning EMS Pediatrics Wellness 52

EMDocs

MARCH 4, 2025

Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. Epub 2022 Dec 28. Bacterial Meningitis Mimics: Other flu-like illnesses: COVID, influenza, toxic shock syndrome, myocarditis, endocarditis, spinal epidural abscess, pneumonia. Consider cryptococcus meningitis in these patients.

Infectious Diseases 85

Infectious Diseases Seizures Poisoning Sepsis 85

ALiEM

OCTOBER 11, 2023

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,

Poisoning 81

Poisoning Burns Wellness Outcomes 81

EMDocs

DECEMBER 19, 2023

Accessed August 25, 2022. Accessed August 25, 2022. McGraw Hill; 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022. Accessed August 25, 2022.[link]

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

ALiEM

OCTOBER 4, 2023

What are the symptoms of nerve agent poisoning? [1, Because of rapid progression, typical symptoms of industrial organophosphate poisoning may not be seen. Therapy for acute nerve agent poisoning: An update. Epub 2022 Dec 30. Organophosphorus nerve agent poisoning: managing the poisoned patient. McGraw Hill.

Poisoning 78

Poisoning Seizures Hospitals 78

EMDocs

AUGUST 15, 2023

Treatment of snakebite poisoning. Published April 15, 2022. Accessed May 7, 2022. StatPearls Publishing; 2022. Accessed May 17, 2022. Accessed May 7, 2022. Accessed May 7, 2022. Accessed May 7, 2022. Accessed May 7, 2022. Am J Hosp Pharm. 1991;48(10):2190-2196. Crotalidae Envenomation.

Poisoning 98

Poisoning CDC Administration EMS 98

EMDocs

JANUARY 17, 2024

8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 2022-057779. References: Leonard JB, Seung H, Klein-Schwartz W.

Poisoning 92

Poisoning Seizures Pediatrics EMS 92

EMDocs

AUGUST 31, 2023

Poison Control: The F(ab2)ulous Expanded Indication of Anavip | FCEP. Accessed May 7, 2022. Accessed May 7, 2022. Accessed May 7, 2022. link] Blue Ridge Poison Center, University of Virginia Health. Accessed May 7, 2022. StatPearls Publishing; 2022. Accessed May 17, 2022. Ann Emerg Med.

Allergic Reactions 97

Allergic Reactions Anaphylaxis Poisoning EMS 97

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. 2022 Mar 2;83(3):1-12. Epub 2022 Mar 4. This should be done continuously for at least 20-30 minutes. Kirkpatrick JJ, Enion DS, Burd DA. Hydrofluoric acid burns: a review. Br J Hosp Med (Lond).

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

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

ALiEM

FEBRUARY 20, 2024

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. The American College of Medical Toxicology hosts this Toxicology Visual Pearls series. The post was peer reviewed on behalf of ACMT by Drs. Crit Care Clin.

Shock 73

Shock EKG/ECG Poisoning Burns 73

EMDocs

JANUARY 4, 2024

6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Accessed 12/18/2022. An 11-year review of bupropion insufflation exposures in adults reported to the California Poison Control System. Accessed 12/18/2022. 2022; 55:232.e3-232.e4

Seizures 94

Seizures EKG/ECG Poisoning Shock 94

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. Pediatric Emergency Care , 31 (6), pp.416-418.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Northwestern EM Blog

MARCH 28, 2022

Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, the toxic metabolites of ethylene glycol cause end-organ damage at levels greater than 20mg/dl.

Poisoning 52

Poisoning Seizures Administration Pediatrics 52

Northwestern EM Blog

MAY 2, 2022

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.

Burns 52

Burns Poisoning EKG/ECG Operations 52

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

ACEP Now

MAY 8, 2023

8 A retrospective study of acetaminophen-poisoned patients found that when using a threshold of 3.5 Treasure Island, Florida: StatPearls Publishing; 2022. Published January, 2022. Population-based incidence and outcome of acetaminophen poisoning by type of ingestion. for death. Treating acetaminophen overdose. Med J Aust.

Poisoning 52

Poisoning Outcomes Administration EMS 52

ALiEM

NOVEMBER 29, 2023

Journal of Addiction Medicine 16(5):p 595-598, 9/10 2022. Published 2022 Aug 19. Xylazine Poisoning: A Systematic Review. Published 2022 Apr 20. PMID: 24769343 Ehrman-Dupre R, Kaigh C, Salzman M et al. Management of Xylazine Withdrawal in a Hospitalized Patient: A Case Report. PMID: 35020700 Knopf, A. 2023;35(26):6-7.

Forensics 67

Forensics Administration Poisoning Emergency Department 67

EMDocs

APRIL 10, 2024

Poisoning & Drug Overdose. McGraw Hill; 2022. Intravenous Lipid Emulsion for Local Anesthetic Toxicity: A Review of the Literature. J Med Toxicol. 2008;4(3):184-191. doi:10.1007/BF03161199 Olson K, Smollin C, eds. Walters E, Wurster Ovalle V, Yin S, Dribin T. BMJ Case Rep. 2020;13(1):e233119.

Advances Cardiac Life Support (ACLS) 111

Advances Cardiac Life Support (ACLS) Seizures EMS Poisoning 111

Dr. Smith's ECG Blog

OCTOBER 17, 2022

This patient had CO poisoning but did not have myocardial injury or OMI. I review assessment and classification of ECG repolarization patterns in My Comment, at the bottom of the page in the May 23, 2022 post in Dr. Smith's ECG Blog. This ECG is interesting because it mimics TQRSD. There are no S-waves in V2 and V3.

EKG/ECG 52

EKG/ECG Poisoning Hospitals 52

Emergency Medicine Ireland

MAY 27, 2024

The ventilator is a bit of a poisoned chalice. 2022 ESC Guidance McLaughlin, V. Care 11 , 77–83 (2022). The ventilator is a bit of a poisoned chalice. Dobutamine has the benefit of at least having substantial clinical experience in PH patients even if the tachycardia and even worse the a fib is less than desirable.

Poisoning 52

Poisoning Shock Wellness 52

PEMBlog

APRIL 26, 2023

2022, August 10). Retrieved October 7, 2022, from [link] Goldstick, J. 2022, March 18). Retrieved October 7, 2022, from [link] Episode Transcript [Kit] Hello! 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.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

For clarity in Figure-1 — I've reproduced the initial ECG in today's case.

Seizures 113

Seizures EKG/ECG EMS Stroke 113

ACEP Now

APRIL 2, 2024

2022 annual report of the National Poison Data System® (NPDS) from America’s Poison Centers®: 40th annual report. Pepper spray injury severity: ten-year case experience of a poison control system. Mechanisms and clinical uses of capsaicin. Eur J Pharmacol. 2013;720(1-3):55-62. Weinberg RB. Hunan hand. N Engl J Med.

Burns 40

Burns Poisoning Seizures Stroke 40

Taming the SRU

APRIL 13, 2023

2022 Pre-AeRATE Trial: use of HFNC for preoxygenation and apneic oxygenation showed no difference in lowest SpO2 during first intubation attempt when compared with usual care. Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

ACEP Now

FEBRUARY 11, 2024

Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Updated December 11, 2022. Efficacy and safety of once-weekly semaglutide versus exenatide ER in subjects with type 2 diabetes (SUSTAIN 3): a 56-week, open-label, randomized clinical trial. Diabetes Care.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

RebelEM

JUNE 12, 2024

According to the 2022 Annual Report of the National Poison Data System from America’s Poison Center, CCBs and BBs account for the sixth and seventh largest number of fatalities from overdose. 2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report.

Poisoning 103

Poisoning Stroke Shock Resuscitation 103

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

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. 2022, February 25). Resources: S. 2018, February 1).

Poisoning 94

Poisoning Fluid Resuscitation Administration Seizures 94

Broome Docs

APRIL 30, 2024

2022 Aug 1;93(2):157-165. PMID: 38497992 Preventing poison ivy? Cost-effective post-exposure prevention of poison ivy dermatitis. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg. doi: 10.1097/TA.0000000000003554.

Poisoning 69

Poisoning Dislocations Operations Ultrasounds 69

ACEP Now

FEBRUARY 11, 2025

In 2022, the National Poison Data system reported 1,278 cases involving kratom; about 45 percent of those cases required health care facility management. 2022 Annual Report of the National Poison Data System (NPDS) from Americas Poison Centers: 40th Annual Report. National Survey on Drug Use and Health.

Poisoning 89

Poisoning Administration Emergency Department Wellness 89

EMDocs

JANUARY 22, 2025

Naloxone in opioid poisoning: walking the tightrope. References Spencer MR, Minio AM, Warner M. Drug overdose deaths in the United States, 20012021. NCHS Data Brief, no 457. Hyattsville, MD: National Center for Health Statistics. DOI: [link] O’Donnell J, Tanz LJ, Miller KD, et al. MMWR Morb Mortal Wkly Rep. 2023;72(35):949-956.

Seizures 97

Seizures Administration Emergency Department Poisoning 97

Taming the SRU

MARCH 3, 2025

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). Systemic toxicities such as carbon monoxide and cyanide poisoning should also be considered when managing inhalation injuries patients.

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52

EMDocs

NOVEMBER 6, 2024

StatPearls Publishing; 2022. Accessed April 27, 2022. 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. Strychnine poisoning. Strychnine poisoning.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98