article thumbnail

Medical Malpractice Insights – Warfarin is poison – and not just for rats

EMDocs

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Warfarin is poison – and not just for rats Spinal epidural hematoma leaves patient paralyzed Facts : A 68-year-old male presents to the ED at the end of the night shift complaining of a 2 day history of 8/10 neck pain radiating to his upper back and increasing with movement.

article thumbnail

The 50-year Failure of American Health Care

Sensible Medicine

we’ve poisoned the food supply, engineered highly-addictive additives, and coated food with pesticides. The old guard has chalked up our chronic disease epidemic to “sedentary lifestyle and obesity.” ” But could it be that American children are not inherently lazy? Could it be that adults have made them sick?

Research 145
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Chemical Burns

Mind The Bleep

National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. Provide detailed documentation of the initial assessment, treatment provided, and the patient’s response to interventions. This should be done continuously for at least 20-30 minutes.

Burns 52
article thumbnail

Digital Health: A Guide for Future Clinicians

Mind The Bleep

At medical school, we learn that the digitalis genus of flowering plants (better known as foxgloves, with their finger or thimble-like flowers) have a useful medical application in the drug digoxin (and also as a poison if you enjoy crime fiction). Learning to code can be a great start in clinical informatics.

article thumbnail

How Not To Miss Posterior Circulation Stroke

ACEP Now

3 Case 1: Posterior Stroke Presenting as Food Poisoning A 42-year-old man presents to the emergency department (ED) with sudden onset of severe vertigo, headache, nausea, and vomiting after eating Italian food. His neurological exam on arrival is documented as normal. His blood pressure is 190 over 115. Symptoms last 10-15 minutes.

Stroke 40
article thumbnail

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. 2) Hypoxia, including poisons of oxidative phosphorylation such as HS, CO, CN. What do you see?

EKG/ECG 40
article thumbnail

Popular Antiobesity Medications Bring New Challenges to Emergency Physicians

ACEP Now

There have been documented cases of overdose, and of note, there is no known antidote. Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Semaglutide has a half-life of approximately one week; as such, it is long-acting and requires supportive measures. CNN website.