ALiEM

NOVEMBER 29, 2023

Food and Drug Administration for veterinary use, specifically for its muscle relaxant, sedative, and analgesic effects [1]. Consider xylazine co-intoxication if a patient presenting with an opioid toxidrome has persistent sedation despite escalating naloxone administration. Xylazine Poisoning: A Systematic Review.

Forensics 67

Forensics Administration Poisoning Emergency Department 67

ACEP Now

APRIL 2, 2024

An 18-year-old woman presented to the emergency department (ED) with symptoms of nausea, vomiting, diarrhea, and abdominal pain. Due to concerns regarding THS, the import of ackee fruit was outlawed in 1972, but since 2000 canned exports have been allowed by certain “green listed” manufacturers by the Federal Drug Administration.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

ACEP Now

JULY 8, 2023

The authors mention that “CRS were not associated with intravenous antibiotics administration, SBI [ serious bacterial illness ], or admission.” Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington. BMC Emerg Med. References Scott HF, et al. 2014;14:24. De Vos-Kerkhof E, et al.

Pediatrics 52

Pediatrics Poisoning Emergency Department Sepsis 52

Taming the SRU

SEPTEMBER 1, 2023

Shewakramani Sepsis is associated with 20-40% mortality Screening tools for detecting patient at risk for sepsis in the ED SIRS Criteria (more sensitive tool) Temp <36C (96.8F) or >38C (100.4F) HR >90 RR >20 WBC <4k or >12k (or >10% bands) qSOFA Score GCS <15 RR >22 SBP <100mmHg Overall, SIRS Criteria remains (..)

Sepsis 94

Sepsis Fractures Documentation/Coding Administration 94

The Skeptics' Guide to EM

FEBRUARY 2, 2019

Case: You’re working a shift in a rural emergency department when a 68-year-old man presents with a two-day course of worsening cough, shortness of breath, and fever. In acutely ill adults, this same concept is not yet as widespread and liberal administration is still common place. This is Bob’s ninth visit to the SGEM.

Poisoning 52

Poisoning Administration Hospitals Outcomes 52

ACEP Now

MAY 8, 2023

1,2 With such enormous popularity it is no surprise that each year there are 56,000 emergency department (ED) visits, 2,600 hospitalizations, and 500 deaths in the U.S. 8 A retrospective study of acetaminophen-poisoned patients found that when using a threshold of 3.5 Acad Emerg Med. take acetaminophen on a weekly basis.

Poisoning 52

Poisoning Outcomes Administration EMS 52

EB Medicine

MAY 3, 2019

This month, we’re moving into uncharted territories for the podcast… we’re talking psychiatry Nachi: Specifically, we’ll be discussing Depressed and Suicidal Patients in the emergency department. Routine serum testing and urine toxicology testing are not recommended for psychiatric patients presenting to the emergency department.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

ACEP Now

MARCH 6, 2024

The PATCH-Trauma trial took a critical look at TXA in major trauma in the advanced trauma systems of Australia and found a mixed result: a slightly greater number of patients were still alive six months following TXA administration, but there was no difference in survival with a good functional outcome. N Engl J Med. 2023;389(2):127-136.

Research 52

Research Airway Management Stroke Outcomes 52

Taming the SRU

APRIL 10, 2023

HOSPITAL COURSE The patient was initially found to be hypotensive in the Emergency Department with a blood pressure of 87/58 mmHg. She received 2 mg intranasal Narcan from paramedics with improvement in respiratory status, but in the emergency department (ED) she remains somnolent and is unable to provide further history.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Administration Emergency Department 52

EMDocs

AUGUST 15, 2023

What are the indications for antivenom administration? Treatment of snakebite poisoning. His father confirmed the snake was a copperhead. He was initially seen at a regional ED and was administered 10 vials of crotalidae equine immune F(ab’) 2 (ANAVIP®) antivenom before transfer to your referral center. Am J Hosp Pharm.

Poisoning 82

Poisoning Administration CDC EMS 82

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., opiates or anticholinergics): Use initial nomogram and treat if initial level is above the treatment line.

Psychiatric 87

Psychiatric Seizures Emergency Department Pediatrics 87

EB Medicine

FEBRUARY 1, 2019

This month, we’re tackling an incredibly important topic - evaluation and management of life threatening headaches in the Emergency Department. Jeff: Do consider adding on a venous or arterial carboxyhemoglobin in the right clinical scenario, as CO poisoning represents an important cause of headache you wouldn’t want to miss.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

Intensive Blog

FEBRUARY 9, 2023

Labs and Lytes 040 Author: Dr Nasreen Bahemia Peer reviewers: Dr Craig Johnston, A/Prof Chris Nickson A 56-year-old female presented to the Emergency Department (ED) with 2 days of severe nausea, vomiting and diarrhoea. Show answer In this case, the history pointed towards mushroom poisoning. How should the patient be managed?

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52