Ken Grauer, MD

JUNE 27, 2024

As reviewed by Almarzuqi et al ( Vasc Health Risk Mgmt 18:397-406, 2022 ) — Potential Causes of Bidirectional VT include: Digitalis toxicity. Certain drug overdoses ( Aconitine poisoning, severe caffeine poisoning ). Despite prolonged resuscitation with multiple defibrillation attempts — the patient could not be saved. =

EKG/ECG 404

EKG/ECG Poisoning Resuscitation 404

EMDocs

MARCH 4, 2025

Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. Start resuscitating with fluids, and add a vasopressor like norepinephrine. Epub 2022 Dec 28. Can be a smoldering infection in patients with immunocompromising conditions. Consider cryptococcus meningitis in these patients.

Infectious Diseases 83

Infectious Diseases Seizures Poisoning Sepsis 83

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 92

Poisoning CDC Administration Emergency Department 92

Mind The Bleep

OCTOBER 29, 2024

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.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

EMDocs

JANUARY 17, 2024

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.

Poisoning 89

Poisoning Seizures Pediatrics EMS 89

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 92

Seizures EKG/ECG Poisoning Shock 92

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