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Case Report: A Child with a Rash and Lead Poisoning History

ACEP Now

A 3-year-old male was brought to the emergency department (ED) by his mother, who reported the sudden onset of a rash (hives) covering his entire body, with no rash on his palms and soles. The next day, the patient’s mother was called to come to the emergency department with the patient due to abnormal labs.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

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. Acad Emerg Med. When is it useful and what does it tell us?

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ToxCard: Benzonatate

EMDocs

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3,

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

of exposures reported to poison control centers in 2021 were related to antipsychotics or sedative-hypnotics with the majority of those exposures occurring in patients 20 years of age or older. Consult a medical toxicologist or regional poison control (at 1-800-222-1222 in the United States). Front Psychiatry. Clinical Toxicol.

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ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

EMDocs

Unusual strychnine poisoning and its treatment: report of eight cases. 2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report. Case report: Survival after deliberate strychnine self-poisoning, with toxicokinetic data. Strychnine poisoning.

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ToxCard: PNU (Vacor)

EMDocs

When should I suspect PNU poisoning? How do I treat PNU poisoning? Background: N-3-pyridylmethyl-N-p-nitrophenylurea (PNU, Pyrinuron, Pyriminil) was released in 1975 as a “safe” poison to use against mice resistant to anticoagulant rodenticides.¹ Fortunately, PNU poisoning is rare. Clinical Pediatrics.

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Does Acrocyanosis Indicate Underlying Bacterial Illness?

ACEP Now

1 The authors evaluated four parameters for their ability to predict severe illness in the pediatric ED setting: altered mental status, abnormal capillary refill, abnormal peripheral pulses, and cold or mottled extremities. Dr. Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington.