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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. Opioid overdose remains the leading cause of cardiac arrest due to poisoning in North America.

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Top 10 emDOCs Posts of 2023

EMDocs

Without further ado, here is our list of top posts from 2023 based on viewership from you, the readers: Neurogenic Shock: Definition, Identification, and Management in the ED We start off the list with a clinical post from Kira Brayan and Jenny Beck-Esmay on diagnosing and managing neurogenic shock! Stay tuned for 2024!

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Point/Counterpoint: Antifreeze Poisoning Tests

ACEP Now

Dr. Filip is the medical director of the Arkansas Poison Center and faculty member in the emergency medicine residency at UAMS. Artifactual elevation of lactate in ethylene glycol poisoning. Ethylene glycol poisoning presenting with a falsely elevated lactate level. 2023 Oct;19(4):362-367. Epub 2023 Sep 11.

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EM Cases Best of 2023 Top 10

Emergency Medicine Cases

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 100
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Snake Bites and Children

Pediatric EM Morsels

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. J Emerg Trauma Shock. Accessed March 13, 2023. Accessed March 17, 2023. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S.

CDC 130
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ACMT Toxicology Visual Pearl: Who Doesn’t Like a Nice Rosé?

ALiEM

Critical illness requiring intubation and propofol sedation Cyanide toxicity requiring sodium thiosulfate Iron toxicity treated with deferoxamine Refractory vasoplegic shock treated with methylene blue Septic shock treated with vancomycin and cefepime Reveal the Answer 3. 2023 May 22. 2023 Jun 26. Deferoxamine.

Shock 64
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The Latest in Critical Care, 12/4/23 (Issue #21)

PulmCCM

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.