Emergency Medicine Cases

JANUARY 2, 2024

Based on a blend of number of listens, feedback from listeners, website visits and personal faves, EM Cases Best of 2023 Top 10. The post EM Cases Best of 2023 Top 10 appeared first on Emergency Medicine Cases.

EMS 102

EMS Poisoning Shock 102

Pediatric EM Morsels

SEPTEMBER 8, 2023

Accessed September 06, 2023. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. link] Smith GA, Sharma V, Knapp JF, Shields BJ. The summer penile syndrome: seasonal acute hypersensitivity reaction caused by chigger bites on the penis.

Poisoning 260

Poisoning Pediatrics EMS 260

EB Medicine

DECEMBER 1, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2023 Pediatric Emergency Medicine Practice article, Management of Pediatric Toxic Ingestions in the Emergenc y Department. Need help now?

Pediatrics 68

Pediatrics Poisoning EKG/ECG 68

PEMBlog

OCTOBER 19, 2023

Cannabinoid poisoning D. Seattle (WA): University of Washington, Seattle; 1993-2023. Based on his x-ray and abnormal labs, a CT of his abdomen and pelvis was also obtained with one relevant image shown here: A. Hepatic cancer B. Hepatic hemangioma C. Entamoeba histolytica infection E. Tyrosinemia Type I. GeneReviews® [Internet].

Urgent Care 52

Urgent Care Pediatrics Poisoning Wellness 52

ALiEM

NOVEMBER 15, 2023

Although poisoning by ingestion of cyanogenic foods is much more common in tropical countries, there have been reported cases in the US [1, 3]. What are the symptoms of cyanide poisoning? How to you treat cyanide poisoning? [1, Hydroxocobalamin is the preferred antidote for cyanide poisoning. Accessed August 20, 2023.

Poisoning 67

Poisoning Pediatrics Seizures Administration 67

Pediatric EM Morsels

MARCH 17, 2023

Call your friends … at the Poison Center! Your state poison center and local toxicologists are a wealth of knowledge and help for management and treatment. Accessed March 13, 2023. Accessed March 17, 2023. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S. Basics are best!

CDC 130

CDC Poisoning Pediatrics Shock 130

ACEP Now

MARCH 6, 2024

The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial. The post Fourteen Emergency Medicine Research Gems from 2023 appeared first on ACEP Now.

Research 52

Research Airway Management Stroke Outcomes 52

RebelEM

DECEMBER 13, 2023

Carbon monoxide poisoning may lead to delayed neurologic sequalae – a constellation of dementia, psychosis, parkinsonism, amnestic syndromes, among other neurologic impairments. Weaver 2002 ) As always, call your local toxicologist or regional poison control center to help determine the need for hyperbaric therapy. N Engl J Med.

Poisoning 95

Poisoning EMS 95

Broome Docs

APRIL 30, 2024

2023 Feb 8:S0735-6757(23)00066-9. 2023 Mar 6;5(3):e0855. PMID: 38497992 Preventing poison ivy? Cost-effective post-exposure prevention of poison ivy dermatitis. 2023 Aug 17;389(7):e12. Epub 2023 Aug 12. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554. 0000000000003554.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

Emergency Medicine Education

MARCH 7, 2024

In November 2023, JAMA published an article on noninvasive airway management among patients with depressed consciousness. The watch-and-wait approach, involving close monitoring for individuals with traditional GCS scores <9 and suspected acute poisoning, demonstrated positive outcomes. Link to article

Airway Management 40

Airway Management Poisoning Outcomes 40

Taming the SRU

APRIL 17, 2023

Poison centers across the United States receive over 100,000 reports of exposures to toxic plants annually. More serious poisonings typically involve adults who ingest plants in larger quantities for recreational, self-harm, foraging or medicinal purposes (1). Spring has sprung. and so have many species of toxic plants! Decontaminate.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

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 65

Poisoning CDC Administration Emergency Department 65

EMDocs

FEBRUARY 15, 2024

Diagnosis: Clinical exam findings, in combination with a thorough history help to make the diagnosis of anticholinergic plant poisoning. 11 Consider consulting a toxicologist or regional poison control center (1-800-222-1222 in the United States) if there diagnostic or management uncertainty. Accessed April 15, 2023.

Hyperthermia / Hypothermia 89

Hyperthermia / Hypothermia Poisoning Seizures COPD 89

Sensible Medicine

NOVEMBER 10, 2023

There were no data suitable to support initial emergency use authorization— and there is certainly no data to support administering the shot to a child born in 2023. Meanwhile, the virus has mutated, most kids already had covid, and there is no reliable data that little kids benefit from a COVID19 shot in 2023 and beyond.

CDC 145

CDC Pediatrics Poisoning Hospitals 145

ALiEM

NOVEMBER 1, 2023

2023 May 22. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. 2023 Jun 26. Treasure Island (FL): StatPearls Publishing; 2023 Jan–.  PMID 24072332 Baranwal AK, Singhi SC: Acute iron poisoning: management guidelines. Curr Opin Pediatr 2006;18(2):174-9.  PMID 16601499 Velasquez J, Wray AA. Deferoxamine.

Shock 64

Shock Poisoning Pediatrics 64

EMDocs

JUNE 8, 2024

2023, www.uptodate.com/contents/overview-of-eye-injuries-in-the-emergency-department?search=traumatic+iritis&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2. 2023, eyewiki.aao.org/Traumatic_Iritis#cite_note-trei-4. Posttraumatic Iridocyclitis – Injuries; Poisoning.” Grigorian, A.

EMS 80

EMS Allergic Reactions Poisoning Emergency Department 80

Sensible Medicine

APRIL 25, 2024

Selenexor is a toxic poison that does not increase survival. In the latest project from our team , led by medical student Josh Elbaz, we examine how many FDA approvals from 2006 to 2023 improve survival. Unfortunately, you can approve bad drugs. Note the time from safety alert to withdrawal, and when the data was generated.

Poisoning 135

Poisoning Outcomes 135

ALiEM

NOVEMBER 29, 2023

Published May 2023. Published 2023 Mar 29. 2023 Jun 15;388(24):2209-2212. Epub 2023 Apr 26. Published 2023 June 30. 2023 Mar;61(3):173-180. Xylazine Poisoning: A Systematic Review. Bryan Judge, Louise Kao, and Matthew Salzman. Read More in the Series References Drug Enforcement Administration.

Forensics 67

Forensics Administration Poisoning Emergency Department 67

ACEP Now

AUGUST 9, 2024

A five-year poison center experience. Poisoning, envenomation, and trauma from marine creatures. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, N.C. References Mouchbahani-Constance S, Choinière M, Sharif-Naeini R. 2023;8(5):e1090. Johnston MW, Purkis SJ.

Poisoning 52

Poisoning Burns Seizures Fractures 52

Mind The Bleep

JANUARY 29, 2024

2023 Jul 25. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. 2023 Jul 4. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. Abnormalities can be grouped into: Small pupil Large pupil Abnormal reflexes Small Pupil (miosis) Bilateral (causes): Opioids – always check the drug chart. Pupillary Light Reflex.

Poisoning 52

Poisoning Radiology Radiology 52

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

RebelEM

FEBRUARY 15, 2024

There has been no high level evidence to help guide practice until now…the Non-Invasive Airway Management of Comatose Poisoned Emergency Patients (NICO) trial. Effect of Noninvasive Airway management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial. Paper: Freund Y et al. References: Freund Y et al.

Poisoning 134

Poisoning Airway Management Seizures Shock 134

PulmCCM

DECEMBER 3, 2023

A European critical care society advised in 2023 against “sighs” resulting in pressure >35 cm H2O. This review in poisoned patients suggested early intubation was associated with lower rates of aspiration pneumonia, but most others did not. But not everyone gave up on sighs.

Poisoning 64

Poisoning Outcomes Hospitals Academics 64

ACEP Now

FEBRUARY 11, 2024

Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Published December 18, 2023. Published January 2023.Updated Updated May 16, 2023. Published January 2023. Diabetes Care. 2018;41:258–66. CNN website. Accessed January 11, 2024.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

Emergency Medicine Ireland

MAY 27, 2024

The ventilator is a bit of a poisoned chalice. 208 , 528–548 (2023). 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. 31 , 369–385 (2015). Johnson, S. Barnett, C.

Poisoning 52

Poisoning Wellness Shock 52

Pediatric Education

MARCH 24, 2024

Related Cases Disease: Infant and Toddler Nutrition | Food Safety | Food Contamination and Poisoning Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Nutrition / Dietetics Age: Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed. Published online October 19, 2023.

Pediatrics 40

Pediatrics Poisoning Research Wellness 40

Dr. Smith's ECG Blog

DECEMBER 7, 2023

My Comment by K EN G RAUER, MD ( 12/7 /2023 ): = The art of serial ECG comparison is masterfully demonstrated by Dr. Frick in today's post, which marks his 1st contribution to Dr. Smith's ECG Blog. Serial EKG is very high yield diagnostic test in patients with stuttering angina.

EKG/ECG 105

EKG/ECG Poisoning Hospitals 105

ALiEM

JUNE 15, 2023

Lily of the valley poisoning is important to recognize because it presents as digitalis toxicity [3]. ouabain, poison rope) Asclepias spp. 2, 5] Poisoning from plant cardiac glycosides causes reversible inhibition of sodium-potassium ATPase, which increases cardiac inotropy and automaticity. [2, Retrieved Jun 5, 2023.

Poisoning 98

Poisoning EKG/ECG Hospitals 98

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. 2023 Mar;97(3):651-661. Organophosphorus nerve agent poisoning: managing the poisoned patient.

Poisoning 78

Poisoning Seizures Hospitals 78

Broome Docs

MAY 31, 2024

Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial. 2023 Dec 19;330(23):2267-2274. 2023 Mar;64(3):400-404. 2023 Nov 28;27(1):465. 2023 Sep 8;9(1):73. doi: 10.1001/jama.2023.24391. 2023.24391. Marking the midline… is it a thing? J Emerg Med.

Airway Management 97

Airway Management Poisoning Pediatrics 97

PEMBlog

APRIL 26, 2023

Listen Gun Violence and Safety (2023) – Brad Sobolewski, MD, MEd – featuring Kit Carney, MD & Kristen Humphrey, MD – PEM Currents: The Pediatric Emergency Medicine Podcast [link] Subscribe Advocacy and education resources Be SMART Campaign Be SMART emphasizes the importance of responsible gun ownership and secure gun storage.

Pediatrics 52

Pediatrics Wellness Poisoning Research 52

Thinking Critical Care

MAY 18, 2023

Should regulatory authorities have done more to prevent the continued use of this poison? Co-Published on Osler [link] on May 18 th , 2023 [1] J Crit Care 2023 Apr 29. There are post scriptums to this story. 10.1016/j.jcrc.2023.154317

Shock 40

Shock Research Sepsis Resuscitation 40

ACEP Now

JUNE 7, 2023

Accessed May 16, 2023. Giordano C, et al. Ficus carica L. leaf anatomy: Trichomes and solid inclusions. Annals of Applied Biology. 2020;176:47-54. Merriam Webster online dictionary. Imen MS, et al. The curious cases of burn by fig tree leaves. Indian J Dermatol.

Burns 52

Burns Research Poisoning 52

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. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. PMID: 57446.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

ACEP Now

MAY 8, 2023

8 A retrospective study of acetaminophen-poisoned patients found that when using a threshold of 3.5 Updated February 12, 2023. Accessed April 2, 2023. Population-based incidence and outcome of acetaminophen poisoning by type of ingestion. Normal serum AST and ALT levels alone are not predictors of outcome. for death.

Poisoning 52

Poisoning Outcomes Administration EMS 52

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

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

There are many ways to estimate the QTc ( ie, I illustrate a user-friendly method I developed and have used for decades in the October 25, 2023 post). For clarity in Figure-1 — I've reproduced the initial ECG in today's case. To determine the QTc — We need to correct this 450 msec. value for the patient's heart rate of ~75/minute.

Seizures 99

Seizures EKG/ECG EMS Documentation/Coding 99