EM SIM Cases

JUNE 11, 2024

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.

Poisoning 52

Poisoning PPE Academics Resuscitation 52

EMDocs

NOVEMBER 6, 2023

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.

Poisoning 94

Poisoning Hyperthermia / Hypothermia Seizures Administration 94

EMDocs

JUNE 14, 2023

Organophosphate poisoning in agriculturally centered communities has developed into a public health concern in developing countries, poisons millions and kills hundreds of thousands each year worldwide and is a reason why understanding organophosphate toxicity has become a critical addition to our knowledge of toxicology.

PPE 70

PPE Poisoning Seizures Emergency Department 70

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.

Poisoning 83

Poisoning Airway Management Seizures PPE 83

Taming the SRU

FEBRUARY 7, 2024

Toxicology Pearls: Abnormal mental status = HYPOGLYCEMIA (until you prove otherwise) Narcan is for decreased respiratory rate, dose = 0.4mg Wide complex tachycardia + overdose, give bicarb DECON at scene if possible (80% of contamination is clothing) Caustic death = airway obstruction 80% of poisoning is supportive care (A,B,C’s) PPE at all times Know (..)

Administration 98

Administration PPE Ultrasounds Poisoning 98

Mind The Bleep

OCTOBER 29, 2024

Use appropriate personal protective equipment (PPE) to avoid secondary contamination. National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. This should be done continuously for at least 20-30 minutes.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52