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.

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

Taming the SRU

FEBRUARY 7, 2024

Vaughan SJS/TEN and DRESS are life-threatening drug reactions that require immediate discontinuation of the drug and specialist involvement In SJS/TEN, if >10% skin involvement or worsening symptoms, transfer the patient to a Burn Center DRESS has characteristic multi organ involvement, so a high level of suspicion for complications should be maintained (..)

Administration 98

Administration PPE Ultrasounds Poisoning 98

Mind The Bleep

OCTOBER 29, 2024

Alkali burns result in liquefaction necrosis, allowing for deeper tissue injury as well as vascular injury that can lead to both local and systemic toxicity [1]. Use appropriate personal protective equipment (PPE) to avoid secondary contamination. This should be done continuously for at least 20-30 minutes.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52