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Methanol poisoning

Don't Forget the Bubbles

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?

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Toxic alcohol poisoning: What do we know about fomepizole, methanol and ethylene glycol?

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Uncover the truth about alcohol poisoning. FOAMed @stemlyns The post Toxic alcohol poisoning: What do we know about fomepizole, methanol and ethylene glycol?

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The NICO Trial: NIV in Comatose Patients with Acute Poisoning

RebelEM

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. References: Freund Y et al.

Poisoning 141
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ACMT Toxicology Visual Pearl: Poison Dart Frog

ALiEM

The toxin from the golden poison dart frog most resembles which of the following in its mechanism of action? Poison dart frogs are found in the rainforest regions of Central and South America and derive their name from the Choco people who used the poison to coat the tips of their blow darts. When raised in captivity (e.g.,

Poisoning 113
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REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

RebelEM

Take Home Points: In the context of poisoning, a “wide QRS” is anything greater than 100 milliseconds. Authors evaluated the relationship between QRS duration and negative clinical events in patients with confirmed tricyclic anti-depressant (TCA) poisoning. Treatment is guided by administration of sodium-bicarbonate. Boehnert 1985 ).

Poisoning 105
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Organophosphate Poisoning

EM SIM Cases

Organophosphate poisoning is a well-known (but rare in developed nations) toxidrome with specific antidotes available for patient treatment and survival. Case Summary This elderly berry farmer, struggling with rising costs, has accidentally poisoned himself using hand-sprayed organophosphate-based pesticide.

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Scombroid Poisoning

Life in the Fast Lane

Susie Liddiard and Chris Nickson Scombroid Poisoning Scombroid poisoning occurs after the ingestion of fish with high histamine levels due to improper processing or storage. One of the most common causes of morbidity associated with fish intake