Remove Hyperthermia / Hypothermia Remove Pediatrics Remove Poisoning
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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. Opioid overdose remains the leading cause of cardiac arrest due to poisoning in North America. COR 2a, LOE B-NR.

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EM Quick Hits 24 Lateral Canthotomy, Cannabis Poisoning, Hyperthermia, Malignant Otitis Externa, BBB in Occlusion MI, Prone CPR

Emergency Medicine Cases

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.

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

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.

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ToxCard: Tetanus and Strychnine – Expanding the Differential for Severe Muscle Spasm

EMDocs

Unusual strychnine poisoning and its treatment: report of eight cases. 2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report. Case report: Survival after deliberate strychnine self-poisoning, with toxicokinetic data. Strychnine poisoning.

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Fearsome Foliage - An Overview of Toxic Plants

Taming the SRU

Poison centers across the United States receive over 100,000 reports of exposures to toxic plants annually. The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure. The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure.

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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Typically for adults with a TBSA of at least 20% or 10% in pediatric patients. Severely burned patients have impaired thermoregulation and are at risk of hypothermia. If the patient is altered after smoke exposure in an enclosed spaced, consider carbon monoxide or cyanide poisoning. IOs and central lines are also options.

Burns 73
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Grand Rounds Recap 4.19.23

Taming the SRU

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. Exertional Hyperthermia Patients with heat stroke will present with Temp > 104, AMS, or seizures.