Mind The Bleep

OCTOBER 29, 2024

Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock. 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. Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9%

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

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 78

Pediatrics Poisoning Research Military 78

PulmCCM

DECEMBER 3, 2023

Some ventilators have a “sigh” function built in, but more than ad hoc implementation would at most hospitals require changes to respiratory care protocols, training of respiratory therapists, agreement among attending physicians, etc. In the NICO randomized trial, the question was put to the test in intoxicated patients.

Poisoning 64

Poisoning Hospitals Outcomes Academics 64

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

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. Consider them for immunocompromised patients and those with recent abx use or hospitalization.

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

Ziqitza HealthCare Ltd

JUNE 13, 2024

Common reasons include infections, gastrointestinal issues, and food poisoning. However, if severe instances are not addressed, they can lead to shock or kidney failure. Prioritizing life-threatening situations, emergency medical personnel try to stabilize patients before transferring them to a hospital for further treatment.

Burns 52

Burns Stroke Ambulance Services Seizures 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. Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Thinking Critical Care

MAY 18, 2023

In 1983 I was an Englishman abroad, the London anaesthetist who was appointed to be the English anaesthetist on the Shock Team only because the outstanding candidate from Oxford had preferred to take up a job doing muscle relaxant research with Kitz and Katz in the USA. 4] The research agenda at the time was broad.

Shock 40

Shock Research Sepsis Resuscitation 40

EB Medicine

SEPTEMBER 1, 2018

Nachi: And don’t forget our peer reviewers this month, Dr. Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. Jeff: What a team! But, let’s get back to the snakes.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

EB Medicine

MAY 3, 2019

Jeff: And while it seems crass to even mention the financial impact, the number is shocking - suicide has an estimated economic burden of $5.4 It’s also important to elicit any psychiatric history, including prior hospitalizations. These patients typically do not require inpatient hospitalization. billion per year in the US.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

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. Clinically often swelling and tenderness may be considered significant if they extend beyond one major joint from the bite site (e.g., Am J Hosp Pharm.

Poisoning 97

Poisoning CDC Administration EMS 97

RebelEM

JUNE 12, 2024

Background and Physiology Shock secondary to beta-blocker (BB) or calcium-channel blocker (CCB) toxicity bears a tremendous degree of morbidity and mortality. Patients often succumb to volume overload given pre-existing cardiac disease and the volume of medical resuscitation through their hospital stay. Clin Toxicol (Phila).

Poisoning 95

Poisoning Stroke Shock Administration 95

EMDocs

DECEMBER 31, 2023

Without further ado, here is our list of top posts from 2023 based on viewership from you, the readers: Neurogenic Shock: Definition, Identification, and Management in the ED We start off the list with a clinical post from Kira Brayan and Jenny Beck-Esmay on diagnosing and managing neurogenic shock!

Poisoning 93

Poisoning Shock EMS Hospitals 93

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 million, and cocaine at 1.9

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Taming the SRU

SEPTEMBER 1, 2023

Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 mg/kg (of 0.1 2x maintenance rate

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89