EMDocs

MARCH 4, 2025

Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. HSV meningitis needs hospital admission. Bacterial Meningitis Mimics: Other flu-like illnesses: COVID, influenza, toxic shock syndrome, myocarditis, endocarditis, spinal epidural abscess, pneumonia. What about steroids?

Infectious Diseases 81

Infectious Diseases Seizures Poisoning Sepsis 81

Ziqitza HealthCare Ltd

JULY 21, 2023

Emergency-type pregnancy, snake bite, food poisoning, cardiac arrest, etc. The paramedic is trained to provide pre-hospital care to patients during transport of the patient. How ambulance emergency number works Where the call is from to ascertain the location on the GPS. Name & contact details of the caller to track the caller.

Ambulance Services 98

Ambulance Services Poisoning Operations Hospitals 98

ACEP Now

AUGUST 11, 2024

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. 3 If water temperatures continue to rise, the distribution of ciguatera poisoning may change. Ciguatera poisoning.

Poisoning 52

Poisoning Infectious Diseases EKG/ECG Emergency Department 52

EMDocs

AUGUST 31, 2023

Case, continued: A 2-year-old boy was admitted to your hospital in stable condition after a copperhead snake bite to the right lower leg. He was administered 10 vials of Crotalidae equine immune F(ab’) 2 (ANAVIP®) at the outside hospital before transfer to your referral center. References: Ubani C, DeGelorm A, Sollee D.

Allergic Reactions 96

Allergic Reactions Anaphylaxis Poisoning EMS 96

Sensible Medicine

SEPTEMBER 19, 2024

we’ve poisoned the food supply, engineered highly-addictive additives, and coated food with pesticides. Trust in hospitals and doctors decreased from 70% to 40%, according to a JAMA study published last month. The old guard has chalked up our chronic disease epidemic to “sedentary lifestyle and obesity.” In the U.S.,

Research 145

Research Military Poisoning Burns 145

Mind The Bleep

OCTOBER 29, 2024

First aid done pre-hospital. National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. The AMPLE framework offers a structured approach [2]. Type of chemical and strength. Was the patient wearing any protective equipment?

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

The Skeptics' Guide to EM

FEBRUARY 2, 2019

Background: The liberal use of supplemental oxygen therapy in acutely ill adults has a long history in the hospital, but high-quality therapy supporting its practice is unclear. The patient has an oxygen saturation of 98% on room air and your nurses ask if you want the patient to receive supplemental oxygen. The Lancet 2018.

Poisoning 52

Poisoning Administration Hospitals Sepsis 52

Dr. Smith's ECG Blog

DECEMBER 7, 2023

On hospital day 3, the patient had recurrence of symptoms and the following EKG was obtained. Dr. Frick's Interpretation of ECG #5 : CP did not recur during the remainder of the hospital stay. The precordial T waves are now much more deeply inverted , and the T waves in II and aVF which were previously biphasic are now inverted.

EKG/ECG 123

EKG/ECG Poisoning Hospitals 123

Don't Forget the Bubbles

NOVEMBER 29, 2024

You smell the faint odour of alcohol on the child’s breath A quick mental note: methanol poisoning? Methanol poisoning is rare, but when it strikes, its delayed onset and devastating effects make it a condition we must be ready to recognise and manage. Paracelsus was right, “The dose makes the poison.” What is Methanol?

Poisoning 64

Poisoning Forensics Seizures Outcomes 64

Northwestern EM Blog

JUNE 16, 2024

If high suspicion or known overdose, involve and consult your local Poison Center [8]. Seth Trueger, MD, MPH, FACEP Associate Professor of Emergency Medicine Northwestern Memorial Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Kilbane, K. It is often associated with severe bradycardia (HR<50 bpm. 2024, Jun 17).

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

Emergency Medicine Cases

MAY 21, 2019

Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care.

Airway Management 52

Airway Management Burns Resuscitation Fluid Resuscitation 52

Pediatric Education

NOVEMBER 12, 2023

It is recommended to be performed within 1-2 days of hospital discharge. Babies recommended to be tested are infants < 37 weeks gestation, with some hospital protocols including babies at risk for cardiorespiratory problems such as hypotonia (e.g. Safe Transportation of Preterm and Low Birth Weight Infants at Hospital Discharge.

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 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. Her oxygen requirement decreased throughout her hospitalization. Opioid-Associated Hearing Loss: A 20-Year Review from the New Jersey Poison Center. Diagnostics WBC : 8.6 Plt : 190 Na : 136 K : 4.4

EKG/ECG 52

EKG/ECG Fluid Resuscitation Administration Emergency Department 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. Dr. Dajer was ED medical director at NY Presbyterian Lower Manhattan Hospital for 13 years.

Stroke 40

Stroke Documentation/Coding Poisoning Emergency Department 40

Mind The Bleep

SEPTEMBER 12, 2023

Trisomy 21 (T21) / Prader Willi Congenital infections, TORCH (or SCORTCH ) Acquired infections (sepsis) Peroxisomal disorders, e.g. neonatal adrenoleukodystrophy, Zellwegers syndrome Iatrogenic / poisoning, e.g. benzodiazepines / atracurium Congenital Hypothyroidism Hypoglycaemia Inborn errors of metabolism, e.g. mucopolysaccharidoses, amino acidurias, (..)

Sepsis 52

Sepsis Seizures Poisoning Wellness 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). 2) Hypoxia, including poisons of oxidative phosphorylation such as HS, CO, CN. 2 The astute paramedic recognized this possibility and announced a CODE STEMI.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

RebelEM

FEBRUARY 15, 2024

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 141

Poisoning Airway Management Seizures Shock 141

Pediatric Emergency Playbook

JUNE 1, 2016

Is this in an infarction, an infection, a poisoning? Fluid balance and cardiac function in septic shock as predictors of hospital mortality. 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.

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

The Bottom Line

APRIL 19, 2024

Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial Freund Y. Background The decision to intubate a poisoned patient with […] Background The decision to intubate a poisoned patient with […] DOI: 10.1001/jama.2023.24391

Airway Management 59

Airway Management Poisoning Hospitals 59

EM Ottawa

FEBRUARY 26, 2024

Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway (..)

Airway Management 69

Airway Management Poisoning Hospitals 69

JournalFeed

APRIL 12, 2025

Monday Spoon Feed : Lidocaine use during pre-hospital resuscitation from ventricular fibrillation or ventricular tachycardia (VF/VT) resistant to defibrillation, when compared to amiodarone, was associated with higher rates of ROSC, fewer post-drug shocks, and greater odds of survival to discharge in this observational study.

Poisoning 52

Poisoning Resuscitation Shock Hospitals 52

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. When is it useful and what does it tell us?

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

RebelEM

JUNE 12, 2024

According to the 2022 Annual Report of the National Poison Data System from America’s Poison Center, CCBs and BBs account for the sixth and seventh largest number of fatalities from overdose. Patients often succumb to volume overload given pre-existing cardiac disease and the volume of medical resuscitation through their hospital stay.

Poisoning 101

Poisoning Stroke Shock Resuscitation 101

EMDocs

AUGUST 15, 2023

Treatment of snakebite poisoning. Avoid additional bites to yourself or the patient and move the patient safely away from the snake. Do NOT attempt to capture or kill the snake. Am J Hosp Pharm. 1991;48(10):2190-2196. Venomous Snakes | NIOSH | CDC. Published April 15, 2022. Accessed May 7, 2022. link] Buchanan JT, Thurman J.

Poisoning 98

Poisoning CDC Administration EMS 98

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.

Poisoning 91

Poisoning CDC Administration Emergency Department 91

ALiEM

OCTOBER 4, 2023

What are the symptoms of nerve agent poisoning? [1, Because of rapid progression, typical symptoms of industrial organophosphate poisoning may not be seen. Give 600 mg IM every 5 min prehospital or 1-2 g loading dose IV in hospital with optional repeat bolus after 1 hour or continuous infusion. Provide supportive care.

Poisoning 78

Poisoning Seizures Hospitals 78

EMDocs

JANUARY 17, 2024

8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 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)

Poisoning 88

Poisoning Seizures Pediatrics EMS 88

EMDocs

DECEMBER 31, 2023

2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning Brit Long covers the 2023 AHA guideline updates on managing the critically ill poisoned patient. To our readers and listeners, we appreciate your support this past year.

Poisoning 97

Poisoning Shock EMS Hospitals 97

ACEP Now

JANUARY 5, 2025

Use of Bones Although the topic hardly rises to the level of serious controversy, the best protocol for vascular access in the context of out-of-hospital cardiac arrest is an ongoing unanswered question. In a setting where the ED is frequently described as the front door to the hospital, a very reasonable question to ask is: Why?

Sepsis 40

Sepsis Research Airway Management Stroke 40

Sensible Medicine

SEPTEMBER 3, 2024

Your supervisor says, “Look, the plant has some similarities to poison ivy. When we tested a treatment for this rash in mice, a specific prescription strength poison ivy cream cleared it right up. But this cream is not FDA approved for “freaky plant rash“, it is only approved for poison ivy.

Pediatrics 81

Pediatrics Poisoning Research Military 81

EMDocs

OCTOBER 10, 2024

She is concerned about food poisoning and says the groin/thigh pain feels like a prior episode of sciatica. Hospital Inpatient : R thigh is indurated and blistered but abdomen is all but ignored. On the 2nd hospital day, she becomes obtunded and is intubated. She only gets worse, and by the 4th hospital day she is unresponsive.

Documentation/Coding 97

Documentation/Coding Hospitals Sepsis Infectious Diseases 97

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

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. 2018;44(1):4-11.

EMS 98

EMS Psychiatric Emergency Department Poisoning 98

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 take acetaminophen on a weekly basis. for death. 2002;359:558–563.

Poisoning 52

Poisoning Outcomes Administration EMS 52

ACEP Now

APRIL 2, 2024

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. Under their recommendation, the patient was admitted to the hospital for observation on an intravenous dextrose infusion.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40