ALiEM

OCTOBER 11, 2023

There is increasing frequency of human poisonings from ingestion of tetrodotoxin-containing pufferfish in less traditional areas, including multiple countries in the Mediterranean as well as the US, Australia, New Zealand, and Spain [5-7]. What is the clinical presentation of tetrodotoxin poisoning following pufferfish ingestion? [4,

Poisoning 81

Poisoning Burns Wellness Outcomes 81

Emergency Medicine Journal

JANUARY 22, 2024

1–3 However, the literature is sparse surrounding the characteristics, treatment, outcomes, costs, disposition and resource utilisation of people who co-use compared with those who use opioids alone. Many overdose deaths are associated with patient co-use of opioids and other substances, such as benzodiazepines.

Outcomes 40

Outcomes Emergency Department Poisoning Documentation/Coding 40

ACEP Now

JANUARY 5, 2025

1 The primary outcome was the frequency of observed hypoxemia, defined as any pulse oximetry reading below 85 percent. Serious patient-oriented outcomes such as cardiac arrest were rare, but almost all occurred in the oxygen mask cohort. The obvious winner was NIPPV, whose 9.1

Sepsis 40

Sepsis Research Airway Management Stroke 40

Don't Forget the Bubbles

JANUARY 17, 2024

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. Pediatric Emergency Care , 31 (6), pp.416-418.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Mind The Bleep

OCTOBER 29, 2024

National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. Proper stabilization and detailed communication with the burns centre are essential for optimal patient outcomes. This should be done continuously for at least 20-30 minutes.

Burns 52

Burns Fluid Resuscitation PPE Hyperthermia / Hypothermia 52

ACEP Now

MAY 8, 2023

Normal serum AST and ALT levels alone are not predictors of outcome. 8 A retrospective study of acetaminophen-poisoned patients found that when using a threshold of 3.5 Blood lactate as an early predictor of outcome in paracetamol-induced acute liver failure: a cohort study. for death. 2002;359: 558–563. Schmidt LE, Dalhoff K.

Poisoning 52

Poisoning Outcomes Administration EMS 52

Pediatric Emergency Playbook

JULY 1, 2020

Traditional Approach: Secretory -- poisoned mucosal villi -- "the sieve" Cytotoxic -- destroyed mucosal villi -- "the shred" Osmotic -- malabsorption -- "the pull" Inflammatory -- edema, motility -- "the push" Lots of overlap, difficult to apply to clinical signs and symptoms. Pediatrics. 1999 Feb;103(2):E18 Lee JY et al.

Poisoning 52

Poisoning Pediatrics Outcomes 52

Emergency Medicine Education

MARCH 7, 2024

The watch-and-wait approach, involving close monitoring for individuals with traditional GCS scores <9 and suspected acute poisoning, demonstrated positive outcomes. In November 2023, JAMA published an article on noninvasive airway management among patients with depressed consciousness. Link to article

Airway Management 40

Airway Management Poisoning Outcomes 40

PulmCCM

DECEMBER 3, 2023

The short answer is, ventilator-free days combine two outcomes (extubation and mortality); all the patients who survived together generated thousands of ventilator-free days, which in this study, were roughly equal between groups. 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

EMDocs

OCTOBER 10, 2024

She is concerned about food poisoning and says the groin/thigh pain feels like a prior episode of sciatica. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. Temp is 98.7 and pulse 121. No case was filed.

Documentation/Coding 93

Documentation/Coding Hospitals Sepsis Infectious Diseases 93

The Skeptics' Guide to EM

FEBRUARY 2, 2019

While supplemental oxygen is undoubtedly beneficial for patients acutely desaturating, in respiratory distress, or suffering from carbon monoxide poisoning just to name a few, there is widespread “indication creep” for this therapy. This study expands upon that investigation to patients with other conditions as well.

Poisoning 52

Poisoning Administration Hospitals Sepsis 52

The Skeptics' Guide to EM

JANUARY 23, 2021

The SGEM bottom line was that increasing APP coverage has minimal effect on ED flow and safety outcomes based on the data. They also excluded those with a triage level ESI 1 or 5, as these are less common, as well as those with a final diagnosis of injury or poisoning – as in those cases the diagnosis would generally be apparent.

Poisoning 52

Poisoning Research Documentation/Coding Operations 52

Sensible Medicine

OCTOBER 8, 2024

” I am intrigued by the claim that UV blocking spectacles cause negative health outcomes. This supports the truism that for drugs – including sunlight or UVR – ‘ dosis sola facit venenum '- only the dose makes the poison. It is true that most glass absorbs UVB (about 99% at 300 nm) but transmits UVA.

Poisoning 73

Poisoning Wellness Research Outcomes 73

RCEM Learning

APRIL 9, 2024

By following these steps and dedicating sufficient time and effort to your preparation, you can increase your chances of achieving a favourable outcome. Remember, consistent practice and exposure to a variety of SBA questions are key to success in the FRCEM SBA exam. The post FRCEM SBA appeared first on RCEMLearning.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

ACEP Now

MARCH 6, 2024

The PATCH-Trauma trial took a critical look at TXA in major trauma in the advanced trauma systems of Australia and found a mixed result: a slightly greater number of patients were still alive six months following TXA administration, but there was no difference in survival with a good functional outcome. percent to 38.3

Research 52

Research Airway Management Stroke Outcomes 52

Ziqitza HealthCare Ltd

JUNE 13, 2024

Knowledge of life-saving skills can significantly impact patient outcomes, potentially saving lives and avoiding future health complications. Rapid medical response is essential in this case to prevent long-term complications and death and improve outcomes. Common reasons include infections, gastrointestinal issues, and food poisoning.

Burns 52

Burns Stroke Ambulance Services Dehydration 52

ACEP Now

MAY 10, 2024

Cantor is professor of emergency medicine and pediatrics, director of the pediatric emergency department, and medical director of the Central New York Regional Poison Control Center at Upstate Medical University in Syracuse, New York. External auditory canal foreign body extraction outcomes. Ann Oto Rhinol Laryngol. Am J Otolaryngol.

Pediatrics 52

Pediatrics Emergency Department Poisoning Outcomes 52

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

Taming the SRU

APRIL 13, 2023

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Thinking Critical Care

MAY 18, 2023

Richard was constructing a relational database of severity of illness scores and intensive care outcome at WIG. Should regulatory authorities have done more to prevent the continued use of this poison? The Shock Team had an office with three desks, one for each of us. There are post scriptums to this story.

Shock 40

Shock Research Sepsis Resuscitation 40

EB Medicine

MAY 3, 2019

Jeff: And finally, how many of you wish there was a clearly outlined evidence-based approach to managing such patients to improve care and outcomes? In one study, sending a brief postcard 9 times a year with a quick “hope things are well” type message to patients discharged after deliberate self-harm reduced self-poisonings by 50%.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

Sensible Medicine

NOVEMBER 8, 2024

This means a patient would have had the same outcome if she had only been diagnosed when symptoms developed, rather than earlier, with screening. We don’t because study after study has shown that screening increases diagnosis, increases treatment, but does not change outcomes. The tests change what you die from, not when you die.

Poisoning 109

Poisoning Wellness Outcomes 109

EMDocs

JANUARY 4, 2024

Whole bowel irrigation: 3 Not routinely performed and limited evidence to support improved outcome in general. 6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. Evidence-based reommendations on the use of intravenous lipid emulsion therapy in poisoning.

Seizures 84

Seizures EKG/ECG Poisoning Shock 84

EMDocs

JUNE 7, 2023

2,7 Organophosphate poisonings in agriculturally-centered communities are of public health concern in developing countries. Millions are poisoned, and hundreds of thousands die each year worldwide. Millions are poisoned, and hundreds of thousands die each year worldwide. 7 May lead to respiratory failure. C, Organophosphate; 2.

Poisoning 97

Poisoning Airway Management Seizures PPE 97

EB Medicine

FEBRUARY 1, 2019

Jeff: Do consider adding on a venous or arterial carboxyhemoglobin in the right clinical scenario, as CO poisoning represents an important cause of headache you wouldn’t want to miss. Nachi: In addition, nimodipine, 60 mg q4h, should be given to those with aneurysmal SAH to improve outcomes. Jeff: and any role for anti-epileptics?

Emergency Department 40

Emergency Department Stroke Ultrasounds Outcomes 40

EB Medicine

AUGUST 1, 2018

Jeff: And according to the national poison data system, states with marijuana use laws have seen a 30% increase in calls related to marijuana use by children. Jeff: It’s also worth noting that cannabis is known to cause adverse outcomes on babies such as low birth weight and more frequent perinatal ICU placement.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Taming the SRU

SEPTEMBER 1, 2023

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Sensible Medicine

APRIL 25, 2024

Selenexor is a toxic poison that does not increase survival. COVID19 vaccines have never shown benefit with respect to clinical outcomes among people who already had COVID. The US FDA is under tremendous political pressure to approve drugs, and indeed they tout the number of approved drugs as a measure of the quality of their work.

Poisoning 137

Poisoning Outcomes 137

Taming the SRU

JANUARY 5, 2025

The neuroleptic malignant syndrome-a systematic case series analysis focusing on therapy regimes and outcome. An 11-year retrospective review of cyproheptadine use in serotonin syndrome cases reported to the California Poison Control System. Acta Psychiatr Scand. 2020 Sep;142(3):233-241. doi: 10.1111/acps.13215. Epub 2020 Aug 2.

Hyperthermia / Hypothermia 97

Hyperthermia / Hypothermia Dehydration Psychiatric Poisoning 97

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., haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Introduction: My first professional ambulance call was for three victims of Carbon Monoxide poisoning. 2014;46(6):814-820 on Medscape.com. ** Example trauma case report requiring airway control; the decision process, algorithms, and alternatives, outcome. Before the romantic portion could begin, the cat became ill. Rogue Medic.

Airway Management 40

Airway Management Resuscitation EMS CPR 40

Sensible Medicine

FEBRUARY 10, 2025

There are many previous studies associating chronic and acute cannabis use with poor outcomes. The types of death that were elevated included suicide (10x), trauma (5x), opioid poisoning (5x) and lung cancer (4x). Safe as in relative to not using cannabis or using it in low doses or comparing it to other legal substances, like alcohol.

Hospitals 93

Hospitals Poisoning Documentation/Coding Outcomes 93