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There has been no high level evidence to help guide practice until now…the Non-Invasive Airway Management of Comatose Poisoned Emergency Patients (NICO) trial. Effect of Noninvasive Airway management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial. Paper: Freund Y et al.
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.
The post EM Quick Hits 58 – HIV PEP and PrEP, PREOXI Trial, Blast Crisis, Nitrous Oxide Poisoning, Vasopressors in Trauma appeared first on Emergency Medicine Cases.
Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g.,
Take Home Points: In the context of poisoning, a “wide QRS” is anything greater than 100 milliseconds. Authors evaluated the relationship between QRS duration and negative clinical events in patients with confirmed tricyclic anti-depressant (TCA) poisoning. Treatment is guided by administration of sodium-bicarbonate. Boehnert 1985 ).
In this EM Cases Best Case Ever Hans Rosenberg and Rajiv Thavanathan discuss recognition and management pearls and pitfalls in salicylate poisoning. They answer question such as: What are the most important diagnostic clues of salicylate poisoning in the patient who presents with undifferentiated fever and altered level of awareness?
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.
The post Summer Penile Syndrome appeared first on Pediatric EM Morsels. The summer penile syndrome: seasonal acute hypersensitivity reaction caused by chigger bites on the penis. Pediatr Emerg Care. 1998 Apr;14(2):116-8. PMID: 9583392.
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.
We’ll keep it short, while you keep that EM brain sharp. Posttraumatic Iridocyclitis – Injuries; Poisoning.” 2023, www.merckmanuals.com/professional/injuries-poisoning/eye-trauma/posttraumatic-iridocyclitis?query=Traumatic+Iritis+and+Chemical+Iritis. WikEM , Oct. 2019, wikem.org/wiki/Traumatic_iritis. Murchison, Ann P.
The post EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM appeared first on Emergency Medicine Cases.
Based on a blend of number of listens, feedback from listeners, website visits and personal faves, EM Cases Best of 2023 Top 10. The post EM Cases Best of 2023 Top 10 appeared first on Emergency Medicine Cases.
On this EM Quick Hits podcast we have Emily Austin on organophosphate poisoning, Arun Sayal on malrotation of metacarpal fractures, Andrew Petrosoniak on pitfalls in abdominal stab wound management, Anand Swaminathan on tranexamic acid for non-massive hemoptysis, and Natalie May on pediatric IV cannulation tips and tricks.
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.
In this months EM Quick Hits podcast: The mighty return of Carr's Cases! The post EM Quick Hits 34 Carr’s Case, Septic Arthritis vs Transient Synovitis, Managing Tracheostomies, Ethylene Glycol Poisoning, Ketamine for Agitation appeared first on Emergency Medicine Cases.
Iltifat Husain and Blake Briggs team up in the wilderness to deliver content on anticholinergic poisoning LIVE from Linville Gorge, a National Forest wilderness area in North Carolina. Name a single EM podcast that records LIVE from a campfire. Name a single EM podcast that records LIVE from a campfire. Go ahead, were waiting
Iltifat Husain and Blake Briggs team up in the wilderness to deliver content on anticholinergic poisoning LIVE from Linville Gorge, a National Forest wilderness area in North Carolina. Name a single EM podcast that records LIVE from a campfire. Name a single EM podcast that records LIVE from a campfire.
We’re going to cover a bit of an environmental/tox topic today and look at carbon monoxide poisoning from Oh’s manual chapter 83 on burns. I have previously covered this on the old tasty morsels of EM series back when i was doing my EM fellowship exams. Hyperbaric oxygen for acute carbon monoxide poisoning.
The post EM Quick Hits 26 LAST, Sodium Nitrite Poisoning, Post-intubation Care, Tetracaine for Corneal Abrasion, ST Segment in Occlusion MI, Coping with COVID appeared first on Emergency Medicine Cases.
PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic.
Carbon monoxide poisoning may lead to delayed neurologic sequalae – a constellation of dementia, psychosis, parkinsonism, amnestic syndromes, among other neurologic impairments. Weaver 2002 ) As always, call your local toxicologist or regional poison control center to help determine the need for hyperbaric therapy. N Engl J Med.
In this main episode podcast we explore a dozen pitfalls in the assessment and management of acetaminophen poisoning. What are indications for fomepizole and dialysis after acetaminophen poisoning? Is hyperphosphatemia the best predictor of need for liver transplant in acetaminophen poisoning? and many more.
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. doi:10.1186/1757-1626-1-16 The post Snake Bites and Children appeared first on Pediatric EM Morsels. But that puts them at risk for snake bites in some areas.
Clinicians are encouraged to call their local regional toxicologist and poison control center whenever a caustic ingestion poisoning is suspected. Management Always consider calling your local toxicologist or regional poison control center, as even substances with a neutral pH may have caustic potential.
When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)
The post Rapid Reviews Video – Low and Slow Poisoning Part 2: Digoxin Overdose appeared first on Emergency Medicine Cases. In this Rapid Reviews Video Nick Clarridge covers an approach to the bradycardic and hypotensive patient as well as the recognition, management and controversies of digoxin overdose.
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.
We had just received a young child from EMS who was post-ictal with decreased mentation. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. In emergency medicine, we often use illness scripts and protocols to help drive our decision-making. Less than 8, intubate! 2018): 192–200.
This time round we’ll look at an oldie but a goodie: salicylate poisoning. This time round we’ll look at an oldie but a goodie: salicylate poisoning. I have not seen one of these in quite some time but it is a classic tox question for exams in both EM and ICM.
EM Notes – Foodborne Illness Causative Agents **Source and Clinical Features Pathogenesis **Diagnosis and Treatment Staphylococci Improperly stored foods with … Continue reading →
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.
The post Episode 90 – Low and Slow Poisoning appeared first on Emergency Medicine Cases. And inevitably we’re gonna be faced with both intentional and unintentional overdoses from these drugs in the ED. If we can recognize these overdoses early and manage them appropriately, well - we’ll save some lives.
These local protocols vary from the labeled dosing; contacting and using your local poison center’s protocol is recommended. Extracorporeal treatment for acetaminophen poisoning: recommendations from the EXTRIP workgroup. Clin Toxicol (Phila). 2015;53(10):941-949. Clin Toxicol (Phila). 2014 Sep-Oct;52(8):856-67. Epub 2014 Aug 18.
Diagnosis: Clinical exam findings, in combination with a thorough history help to make the diagnosis of anticholinergic plant poisoning. 11 Consider consulting a toxicologist or regional poison control center (1-800-222-1222 in the United States) if there diagnostic or management uncertainty. Jimson weed poisoning – a case report.
Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. Poisoning & Drug Overdose. The patient is a 56-year-old woman who was being prepped for an arthroscopic knee procedure at an outpatient surgery center. Regional Anesthesia and Pain Medicine.
In this ECG Cases Dr. Jesse McLaren delves into ECG interpretation in toxicology and the poisoned patient using his HEARTS approach in 7 case examples. Heart rate/rhythm: consider antidotes for brady/tachy-arrhythmias, and for sinus tachycardia consider fluids for vasodilation and benzodiazepines for agitation.
2020, September 26) EM@3AM: Marine Animal Bites and Stings. Food Poisoning. Poisoning, Envenomation, and Trauma from Marine Creatures. Rosen’s Emergency Medicine: Concepts and Clinical Practice (2 Volumes). Philadelphia: Elsevier Saunders; 2014:805-807. link] Blohm E, Brush D. Marine Envenomations. 2006;23(7):503-508.
The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. How do you manage carbon monoxide poisoning?
The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest.
The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest. Read on here @ Rebel EM.
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