Emergency Medicine Cases

JUNE 18, 2024

To support EM Cases, please consider a donation here: [link] The post EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments appeared first on Emergency Medicine Cases.

Airway Management 73

Airway Management Poisoning EMS EKG/ECG 73

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, The entire plant is toxic.

Poisoning 98

Poisoning EKG/ECG Hospitals 98

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 69

Pediatrics Poisoning EKG/ECG 69

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. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S. in wetlands, rivers, and lake areas Coral snakes inhabit the southern U.S. Basics are best!

CDC 130

CDC Poisoning Pediatrics Shock 130

ALiEM

FEBRUARY 20, 2024

What agent would most likely be responsible for these ECG findings? This EKG shows a wide complex (QRS 240 msec), irregular rhythm with left bundle branch block morphology at a rate slower than expected (90 bpm) for a ventricular arrhythmia such as ventricular tachycardia. Poisoning by sodium channel blocking agents.

Shock 73

Shock EKG/ECG Poisoning Burns 73

Emergency Medicine Cases

DECEMBER 8, 2020

In this month's EM Quick Hits podcast: Anand Swaminathan on lateral canthotomy, Emily Austin on pediatric cannabis poisoning, Reuben Strayer on an approach to hyperthermia, Brit Long on diagnosis and management of malignant otitis externa, Jesse McLaren on ECG diagnosis of occlusion MI in patients with BBB and Peter Brindley on prone CPR.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia CPR Poisoning EMS 52

ACEP Now

JANUARY 9, 2024

Incidentally, the day after ED visit number one, the mother was called by the child’s pediatrician advising her to bring him for evaluation of lead poisoning. Blood type and screen, COVID-19 tests, and ECG were all within normal limits. Discussion Lead poisoning is a serious health concern. μg/dL, hemoglobin of 6.4

Poisoning 52

Poisoning Pediatrics Emergency Department Wellness 52

Taming the SRU

JUNE 7, 2023

CPC: Rheumatic Fever - Carbon Monoxide Poisoning - Pediatrics: Toxicology - Combined EM/IM: Competency CPC: Rheumatic Fever WITH Drs.

Poisoning 76

Poisoning EKG/ECG Pediatrics Burns 76

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

The ECG below was recorded by EMS. ECG #1 Interpretation: ECG #1 shows sinus rhythm at a heart rate of 77 bpm. At first glance, the ECG does not look too abnormal. In my experience, the pathologic finding in the above ECG is the easiest one to overlook — especially if you are in a rush and do not do a systematic review.

Seizures 114

Seizures EKG/ECG EMS Stroke 114

ACEP Now

AUGUST 11, 2024

An EKG was performed on arrival, showing no abnormalities. Ciguatera fish poisoning, a foodborne illness caused by consuming reef fish contaminated with ciguatoxins, is characterized by a combination of gastrointestinal, neurological, and cardiovascular symptoms. 4 Treatment of ciguatera poisoning is supportive and symptomatic.

Poisoning 52

Poisoning Infectious Diseases EKG/ECG Emergency Department 52

EMDocs

JANUARY 17, 2024

Her electrocardiogram (ECG) showed atrial fibrillation which was cardioverted to sinus rhythm. 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, Impact of a drug safety communication on the severity of benzonatate exposures reported to poison centers.

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

Dr. Smith's ECG Blog

FEBRUARY 18, 2022

An ECG is always recorded for CO toxicity. This was his ECG. Intravascular Neutrophil Activation Due to Carbon Monoxide Poisoning What do you think of this ECG? The assessment of QT intervals in acute carbon monoxide poisoning I was not worried about this ECG. There is no reciprocal ST depression in aVL.

Poisoning 52

Poisoning EKG/ECG Wellness 52

Northwestern EM Blog

MAY 2, 2022

The post goes into detail on the pathophysiology, signs, symptoms, and diagnosis of both carbon monoxide and cyanide poisonings, so this commentary will focus on the clinical approach. An elevated lactic acid is a surrogate for cyanide poisoning, specifically a level of 8-10 mmol/L or greater is sensitive and should prompt intervention.

Burns 52

Burns Poisoning EKG/ECG Operations 52

Mind The Bleep

OCTOBER 29, 2024

Circulation Assess heart rate, blood pressure, peripheral and central CRT, pulses and 3 lead ECG. National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. Administer high-flow oxygen if indicated and consider arterial blood gas ( ABG ).

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

An immediate 12-lead EKG was obtained: There is ST elevation in leads aVR and V1, with marked ST depression in I, II, III, aVF, V3-V6. DISCUSSION: The 12-lead EKG EMS initially obtained for this patient showed severe ischemia, with profound "infero-lateral" ST depression and reciprocal ST elevation in lead aVR. What should be done?

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Dr. Smith's ECG Blog

OCTOBER 17, 2022

This ECG has ST Elevation in multiple leads. This ECG is interesting because it mimics TQRSD. This is a normal ECG. This patient had CO poisoning but did not have myocardial injury or OMI. This patient had CO poisoning but did not have myocardial injury or OMI. Is it normal STE? Or is it ischemic STE? Anterior OMI?

EKG/ECG 52

EKG/ECG Poisoning Hospitals 52

Dr. Smith's ECG Blog

JANUARY 3, 2020

Cole , one of our EM faculty and unparalleled toxicologist, and director of the Minnesota Poison Control Center. Dr. Cole suspected the diagnosis and rapidly obtained a 12-lead ECG before any other test could be obtained: And the diagnosis was made. This case comes from Jon B. He denied head or neck trauma, or neck pain. What is it?

Poisoning 52

Poisoning EMS EKG/ECG 52

EMDocs

APRIL 10, 2024

1-3,5,7,9] All patients developing symptoms of LAST should be placed on a continuous cardiac monitor and have an ECG performed. [2] Poisoning & Drug Overdose. Epidemiology Most common cause: inadvertent intravascular injection. 5,8] In one review the incidence of LAST was estimated to be 2.7 Regional Anesthesia and Pain Medicine.

Advances Cardiac Life Support (ACLS) 109

Advances Cardiac Life Support (ACLS) Seizures EMS Poisoning 109

Taming the SRU

MAY 1, 2023

Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango. This can predispose patients to fatal arrhythmias.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

EMDocs

OCTOBER 10, 2024

She is concerned about food poisoning and says the groin/thigh pain feels like a prior episode of sciatica. EKG shows atrial fibrillation with a rate of 169. It began 5 days earlier after eating chicken nuggets from Wendy’s. She also reports fever, sweating and right anterior thigh/groin pain that worsens with walking.

Documentation/Coding 93

Documentation/Coding Hospitals Sepsis Infectious Diseases 93

Taming the SRU

APRIL 10, 2023

UDS : positive for amphetamines, benzodiazepines, fentanyl, THC EKG : Normal sinus rhythm, incomplete right bundle branch block, normal axis, normal intervals. without signs of ischemia on EKG, an elevated CK of 1900, and a mild acute kidney injury with a creatinine of 1.56. Diagnostics WBC : 8.6 Plt : 190 Na : 136 K : 4.4 TSH : 18.04

EKG/ECG 52

EKG/ECG Fluid Resuscitation Administration Emergency Department 52

Taming the SRU

APRIL 13, 2023

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Cook County EM Blog

MAY 29, 2023

If a wide complex rhythm is present on ECG, sodium bicarbonate boluses (to overcome sodium channel blockade) should be administered. Early consultation with the poison center is prudent. Treatment: The mainstay of treatment is supportive care. Seizures should be treated with benzodiazepines. Bishop-Freeman, Erin M. Shonsey, Laura W.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

Mind The Bleep

JULY 8, 2023

Many questions were repeated, and on some, the resources were not included (“look at this ECG” but no ECG was visible). 150 ECG cases by Hampton, Adlam & Hampton- You are guaranteed to get at least a couple of ECG questions in the exam, and it’s difficult to get sufficient practice on ECGs.

EKG/ECG 52

EKG/ECG Wellness Hyperthermia / Hypothermia Poisoning 52

ACEP Now

FEBRUARY 11, 2024

This patient’s syncope is most likely due to metabolic disruptions and fluid-status physiology; nevertheless, assessment of cardiogenic etiologies through an EKG, troponin, and cardiac risk factors should be considered as appropriate. Diabetes Care. 2018;41:258–66. CNN website. Published December 18, 2023. Accessed January 11, 2024.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

EMDocs

JANUARY 4, 2024

3 Always get an EKG to assess for cardiotoxicity, including widened QRS and prolonged QTc, although this may not be evident right away. 3 Cardiotoxicity 3 All patients need an EKG and cardiac monitoring. 6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center.

Seizures 84

Seizures EKG/ECG Poisoning Shock 84

EB Medicine

AUGUST 1, 2018

Jeff: For any patient arriving with suspected cannabis or synthetic abuse, consider checking an EKG. Jeff: And according to the national poison data system, states with marijuana use laws have seen a 30% increase in calls related to marijuana use by children. These include ibuprofen, pantoprazole, efavirenz, and lamotrigine.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

JULY 19, 2023

Diagnosis and Management: Whole blood mercury concentrations are the most useful for diagnosis of organic mercury poisoning, as organic mercury undergoes little urinary excretion. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast. Adverse Drug React Acute Poisoning Rev. Am J Cardiol.

Poisoning 84

Poisoning Fluid Resuscitation Administration Seizures 84

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 2x maintenance rate

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

Dr. Smith's ECG Blog

JANUARY 23, 2025

He is an ECG tech who hopes to go to medical school. He has never been poisoned by the STEMI/NSTEMI paradigm because he has never been to medical school. You don't need to have medical training to recognize OMI on the ECG. Overall, this EKG meets Smith-modified Sgarbossa criteria in multiple leads. Lucky Hans.

EKG/ECG 117

EKG/ECG Poisoning Wellness 117