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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. 5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. 2 L/hr in adults. McGraw Hill; 2019.

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. They passed away a few days after a second operation.

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Beyond the Burns: Toxic House Fire Gases

Northwestern EM Blog

The post goes into detail on the pathophysiology, signs, symptoms, and diagnosis of both carbon monoxide and cyanide poisonings, so this commentary will focus on the clinical approach. An elevated lactic acid is a surrogate for cyanide poisoning, specifically a level of 8-10 mmol/L or greater is sensitive and should prompt intervention.

Burns 52
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SGEM#316: What A Difference An A.P.P. Makes? Diagnostic Testing Differences Between A.P.P.s and Physicians

The Skeptics' Guide to EM

That SGEMHOP episode asked how the productivity of APPs compare to emergency physicians and what is its impact on ED operations? The difference in training between and emergency medicine physician and APPs is well recognized. Background: We covered the use of advanced practice providers (APPs) on the SGEM#308.

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Seizure in a 30 something

Dr. Smith's ECG Blog

Regarding my Systematic assessment of ECG #1: There is significant baseline artifact , as well as baseline wander. since what appears to be a major causative factor ( simultaneous ingestion of 9 herbal preparations ) is no longer operative. Nossen — results of genetic testing for LQTS are pending.

Seizures 114
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Carbon Dioxide As A Resuscitative Gas

Advanced Emergency Nursing from AENJ

Even after no longer having a role in resuscitation, CO2 was advocated for accelerating clearance of carbon monoxide poisoning into the 1950s and 1960s. Henderson , it would seem, was an enthusiast, well-convinced of his opinions, with missionary zeal, who would firmly argue his positions and tirelessly campaign them. In 1927, H.W.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice.