EM Curious

MAY 6, 2015

DVT ULTRASOUND CONTROVERSY [PODCAST]: There has been an emerging collection of literature that two-point compression ultrasound may be inadequate to rule out DVT. IS IT TIME TO START USING THE HEART PATHWAY IN THE EMERGENCY DEPARTMENT? Check out the podcast here @ Ultrasound Podcast. Listen to the review here @ The SGEM.

Dislocations 52

Dislocations Hyperthermia / Hypothermia Airway Management Ultrasounds 52

ACEP Now

MAY 10, 2024

Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington. Dr. Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

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. This is Bob’s ninth visit to the SGEM. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US AIR FORCE.

Poisoning 52

Poisoning Administration Hospitals Sepsis 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

ACEP Now

APRIL 2, 2024

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. Dizziness is especially tricky, with up to 40 percent of strokes presenting with dizziness being missed.

Stroke 40

Stroke Documentation/Coding Poisoning Emergency Department 40

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

Pediatric Emergency Playbook

JUNE 1, 2016

Is this in an infarction, an infection, a poisoning? Pulmonary embolism in the pediatric emergency department. Now , we look at contractility. How FAST you FILL the PUMP and SQUEEZE Is there a problem with the PUMP? That is, with contractility? Look for signs of cardiac congestion on physical exam. Pediatrics.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

EMDocs

DECEMBER 6, 2024

In the late 1990s, iron was the leading cause of poisoning deaths reported to poison control centers for children less than 6 years of age. 1 The choice of GI decontamination should be made with toxicologist / poison control review and recommendation, and possibly including endoscopist input. 2 L/hr in adults. McGraw Hill; 2019.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

Northwestern EM Blog

FEBRUARY 4, 2025

Poison control was consulted for additional workup due to concern for Kratom toxicity. Although no confirmatory testing is available, poison control believed there was a reasonable likelihood Kratom toxicity contributed to the patients likely seizure. Just over half of these cases required medical intervention.

Seizures 72

Seizures Poisoning Forensics Emergency Department 72

EMDocs

JULY 30, 2024

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. Questions What is PNU? N Engl J Med.

Poisoning 74

Poisoning Seizures Fluid Resuscitation Pediatrics 74

Pediatric EM Morsels

JULY 21, 2023

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. Interrater reliability of Glasgow Coma Scale scores in the emergency department.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

EB Medicine

SEPTEMBER 1, 2018

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

EMDocs

SEPTEMBER 7, 2023

In mass poisoning cases, DEG has been substituted as a solvent in oral medications and in topical medicinal products. 4 Despite the policy changes in the United States, epidemic poisonings involving DEG continue to impact adults and children on a global scale with 14 mass poisonings occurring since the Sulfanilamide Disaster.

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Poisoning CDC Administration Emergency Department 91

Taming the SRU

DECEMBER 11, 2023

In conjunction with the Drug and Poison Information Center (DPIC), intravenous methylene blue was initiated for suspected methemoglobinemia with moderate improvement of her symptoms over the next hour, including return of baseline mental status and resolution of hypoxia. Despite supplemental oxygen, she remained hypoxic. of deaths worldwide.[1]

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

EMDocs

AUGUST 15, 2023

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. 1991;48(10):2190-2196. Venomous Snakes | NIOSH | CDC. Accessed May 7, 2022.

Poisoning 98

Poisoning CDC Administration EMS 98

Taming the SRU

OCTOBER 1, 2024

Anterior fat pads can be normal Galeazzi injuries are a radial shaft fracture with an ulna dislocation whereas Monteggia injuries are ulna fractures with radial dislocations Scaphoids injuries are prone to avascular necrosis due to variable blood supply r2 cpc: Acute Salicylate toxicity WITH drs. C above historical average.

Dislocations 74

Dislocations Fractures Poisoning Academics 74

EMDocs

JUNE 8, 2024

A 32-year-old man presents to the emergency department with eye pain. However, it would be expected to emerge with reduced visual acuity or other visual disturbances such as diplopia. Overview of Eye Injuries in the Emergency Department.” Posttraumatic Iridocyclitis – Injuries; Poisoning.” WikEM , Oct.

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

Don't Forget the Bubbles

JANUARY 17, 2024

Curious Ken is brought into your emergency department. Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Pediatric Emergency Care , 31 (6), pp.416-418. Pediatric Orbeez ingestions reported to Texas poison centers.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

EMDocs

JANUARY 17, 2024

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, References: Leonard JB, Seung H, Klein-Schwartz W. 2021;30(1):45-52.

Poisoning 89

Poisoning Seizures Pediatrics EMS 89

EB Medicine

MARCH 4, 2020

not ED specific) Food poisoning is responsible for 5% of AGE but results in 30% of deaths. Ciguatera Fish Poisoning Toxin produced by algae consumed by reef fish like grouper, red snapper, sea bass and Spanish mackerel. not ED specific) * Food poisoning is responsible for 5% of AGE but results in 30% of deaths.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

EMDocs

FEBRUARY 15, 2024

Diagnosis: Clinical exam findings, in combination with a thorough history help to make the diagnosis of anticholinergic plant poisoning. 8 However, it is not considered first line in treatment of anticholinergic toxicity and is not available in all emergency departments. World J Emerg Med. 2017;8(4):297-301.

Hyperthermia / Hypothermia 111

Hyperthermia / Hypothermia Poisoning Seizures COPD 111

EMDocs

JANUARY 4, 2024

6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Case Follow-up: The patient required a dose of lorazepam in the emergency department. Evidence-based reommendations on the use of intravenous lipid emulsion therapy in poisoning. Eds (2017).

Seizures 91

Seizures EKG/ECG Poisoning Shock 91

ACEP Now

JANUARY 5, 2025

The PREOXI trial compared oxygen mask pre-oxygenation versus noninvasive positive-pressure ventilation (NIPPV) in patients requiring intubation in emergency departments (EDs) and intensive care units. Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial. Pediatrics.

Sepsis 40

Sepsis Research Airway Management Stroke 40

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.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

Emergency Medicine Journal

JANUARY 22, 2024

Many overdose deaths are associated with patient co-use of opioids and other substances, such as benzodiazepines. 1–3 However, the literature is sparse surrounding the characteristics, treatment, outcomes, costs, disposition and resource utilisation of people who co-use compared with those who use opioids alone.

Outcomes 40

Outcomes Emergency Department Poisoning Documentation/Coding 40

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. Am J Emerg Med. for death.

Poisoning 52

Poisoning Outcomes Administration EMS 52

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. 8 Diagnosis and Treatment Food poisoning may result in a similar clinical manifestation as Toxic Hypoglycemic Syndrome. Poison control was consulted, and they concurred with the diagnosis of THS.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

ALiEM

NOVEMBER 29, 2023

Opioid overdoses involving xylazine in emergency department patients: a multicenter study. Xylazine Poisoning: A Systematic Review. Published 2022 Aug 19. PMID: 36148197 Love JS, Levine M, Aldy K, et al. Clin Toxicol (Phila). 2023 Mar;61(3):173-180. PMID: 37014353 Ball NS, Knable BM, Relich TA et al. Published 2022 Apr 20.

Forensics 67

Forensics Administration Poisoning Emergency Department 67

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

DECEMBER 10, 2023

5 Symptoms of milkweed poisoning may include abdominal discomfort, nausea, vomiting, diarrhea, weakness, lethargy, and confusion, progressing to seizures, heart rhythm changes, and bradycardia. In the ED, he was found to have a heart rate in the 40s, and a digoxin level of 1.0 ng/mL (cross reactivity of the assay) and a potassium of 4.2

Poisoning 52

Poisoning Seizures Documentation/Coding Emergency Department 52

ACEP Now

SEPTEMBER 11, 2023

Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington. Dr. Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York.

Pediatrics 40

Pediatrics Poisoning Hospitals Emergency Department 40

The Skeptics' Guide to EM

JANUARY 23, 2021

Emergency Physician and Advanced Practice Provider Diagnostic Testing and Admission Decisions in Chest Pain and Abdominal Pain. AEM January 2021 Case: A 50-year-old male presents to the Emergency Department (ED) with left lower quadrant abdominal pain. The patient is seen by an advanced practice provider (APP).

Poisoning 52

Poisoning Research Documentation/Coding Operations 52

ACEP Now

MARCH 6, 2024

7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice.

Research 52

Research Airway Management Stroke Outcomes 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Aims and Objectives Early identification of patients at higher risk of death and hospital admission is an important problem in emergency departments. POISONING FROM ANY SOURCE 179 0 8 4.5 Most triage scales were developed before current electronic healthcare records were developed. TOOTHACHE) 574 0 107 18.6 0.65 , 2.7]

Documentation/Coding 40

Documentation/Coding Sexual Assault Hyperthermia / Hypothermia Head Injuries 40

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

ACEP Now

FEBRUARY 11, 2025

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. 2022 Annual Report of the National Poison Data System (NPDS) from Americas Poison Centers: 40th Annual Report. Clin Toxicol (Phila).

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Poisoning Administration Emergency Department Wellness 89