Remove EMS Remove Poisoning Remove Seizures
article thumbnail

The NICO Trial: NIV in Comatose Patients with Acute Poisoning

RebelEM

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.

Poisoning 137
article thumbnail

REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

RebelEM

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 ).

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

ToxCard: Organic Mercury Poisoning

EMDocs

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast.

article thumbnail

ToxCard: Iron

EMDocs

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. Characterized by hypovolemia, vasodilation, reduced cardiac output, hyperventilation, elevated temperature, seizure, coma, and cardiovascular collapse. Can progress to hepatic failure.

article thumbnail

ToxCard: Benzonatate

EMDocs

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)

article thumbnail

ToxCard: Anticholinergic Plant Toxicity

EMDocs

Diagnosis: Clinical exam findings, in combination with a thorough history help to make the diagnosis of anticholinergic plant poisoning. Physostigmine does not reverse seizures or dysrhythmias. Physostigmine does not reverse seizures or dysrhythmias. Jimson weed poisoning – a case report. 9 Physostigmine dosing: 0.5-2

article thumbnail

emDOCs Podcast – Episode 91: Marine Envenomation and Trauma

EMDocs

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.

Poisoning 102