ACEP Now

FEBRUARY 11, 2024

4 It is believed that substantial gastrointestinal loss causes chloride and potassium depletion, as well as hypovolemia, acute kidney injury, and renal potassium loss. Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Updated December 11, 2022. CNN website.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

Northwestern EM Blog

FEBRUARY 4, 2025

Poison control was consulted for additional workup due to concern for Kratom toxicity. Although no confirmatory testing is available, poison control believed there was a reasonable likelihood Kratom toxicity contributed to the patients likely seizure. 2022 Mar 2;13:801855. Drug and alcohol dependence reports 4. Hofmeister M.

Seizures 72

Seizures Poisoning Forensics Emergency Department 72

Pediatric EM Morsels

JULY 21, 2023

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. Jain 2022] Glasgow Coma Scale in Children – How do you perform it correctly?

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Pediatric EM Morsels

MARCH 17, 2023

Ahmed 2008, Meyers 2022) Of course, treat any other systemic symptoms (like respiratory failure, hypotension) as you typically would. If you are managing a snake bite from a snake that does not typically reside in the U.S., please utilize other resources and local Toxicology experts for help with management protocols.

CDC 130

CDC Poisoning Pediatrics Shock 130

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.

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Poisoning CDC Administration EMS 98

EMDocs

SEPTEMBER 7, 2023

In mass poisoning cases, DEG has been substituted as a solvent in oral medications and in topical medicinal products. DGA concentrates in the kidney tissue and causes nephrotoxicity, as well as neurotoxicity. Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur.

Poisoning 92

Poisoning CDC Administration Emergency Department 92

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. From Mullens et al., Forrester, M.B., Randell, K.A.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

EMDocs

JANUARY 4, 2024

3 Bupropion blocks the reuptake of dopamine and norepinephrine, as well as antagonizes acetylcholine at nicotinic receptors. 6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Accessed 12/18/2022. Accessed 12/18/2022. 2022; 55:232.e3-232.e4

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

ALiEM

OCTOBER 11, 2023

Pufferfish, also known as fugu, is served as a delicacy and perioral numbness is a well-known effect [4]. What is the clinical presentation of tetrodotoxin poisoning following pufferfish ingestion? [4, 2022 Feb 8;14(2):123. Treasure Island (FL): StatPearls Publishing; August 8, 2022. 2022 Feb;60(2):262-266.

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Poisoning Burns Wellness Outcomes 81

ALiEM

NOVEMBER 29, 2023

In patients with skin changes, consider topical wound care as well as further evaluation of deep tissue infections, osteomyelitis, and ischemia. 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: 35020700 Knopf, A.

Forensics 67

Forensics Administration Poisoning Emergency Department 67

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Regarding my Systematic assessment of ECG #1: There is significant baseline artifact , as well as baseline wander. For clarity in Figure-1 — I've reproduced the initial ECG in today's case. Keep in mind that your interpretation of the ECGs of your patients is part of the medical record.

Seizures 113

Seizures EKG/ECG EMS Stroke 113

Emergency Medicine Ireland

MAY 27, 2024

This is a somewhat philosophical approach that reminds us that the PA pressures themselves don’t prognosticate especially well but a failure of flow from right to left will result in cardiogenic shock and death. The ventilator is a bit of a poisoned chalice. Well, take a step back to start with. 2022 ESC Guidance McLaughlin, V.

Poisoning 52

Poisoning Wellness Shock 52

ACEP Now

APRIL 2, 2024

They are found in large numbers in the mouth, throat, and stomach, as well as throughout the body. 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. Eur J Pharmacol.

Burns 40

Burns Poisoning Seizures Stroke 40

PEMBlog

APRIL 26, 2023

Kit Carney and Dr. Kristen Humphrey discuss gun violence, its impact on our patients and their families, as well as practical tips on advocating for safe storage of firearms, and how we can support victims of violence. 2022, August 10). Retrieved October 7, 2022, from [link] Goldstick, J. 2022, March 18). Beidas, R.

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

ACEP Now

FEBRUARY 11, 2025

percent NaCl infusion was started, and the patient responded well, with significant decrease in his agitation. In 2022, the National Poison Data system reported 1,278 cases involving kratom; about 45 percent of those cases required health care facility management. A dexmedetomidine (Precedex) 400 mcg in 0.9 Clin Toxicol (Phila).

Poisoning 89

Poisoning Administration Emergency Department Wellness 89

Taming the SRU

MARCH 3, 2025

In addition to smoke inhalation injury from fires, many chemical substances can cause inhalation injury as well including but not limited to nitrogen dioxide, ammonia, chlorine, hydrogen sulfide, ammonia, and by-products from rubber and plastic.

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52