Emergency Medicine Cases

JUNE 18, 2024

To support EM Cases, please consider a donation here: [link] The post EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments appeared first on Emergency Medicine Cases.

Airway Management 73

Airway Management Poisoning EMS EKG/ECG 73

EMDocs

MARCH 4, 2025

Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. Start resuscitating with fluids, and add a vasopressor like norepinephrine. Bacterial Meningitis Mimics: Other flu-like illnesses: COVID, influenza, toxic shock syndrome, myocarditis, endocarditis, spinal epidural abscess, pneumonia.

Infectious Diseases 82

Infectious Diseases Seizures Poisoning Sepsis 82

Emergency Medicine Ireland

JUNE 10, 2024

We’re going to cover a bit of an environmental/tox topic today and look at carbon monoxide poisoning from Oh’s manual chapter 83 on burns. One might be inclined to think that this is the major cause of morbidity and mortality in CO poisoning but in fact this is only a small portion of the problem.

Poisoning 52

Poisoning EMS Burns Shock 52

RebelEM

JUNE 7, 2023

Clinicians are encouraged to call their local regional toxicologist and poison control center whenever a caustic ingestion poisoning is suspected. Management Always consider calling your local toxicologist or regional poison control center, as even substances with a neutral pH may have caustic potential. N Engl J Med.

Poisoning 97

Poisoning Burns Resuscitation Pediatrics 97

EMDocs

SEPTEMBER 7, 2023

In mass poisoning cases, DEG has been substituted as a solvent in oral medications and in topical medicinal products. 4 Despite the policy changes in the United States, epidemic poisonings involving DEG continue to impact adults and children on a global scale with 14 mass poisonings occurring since the Sulfanilamide Disaster.

Poisoning 92

Poisoning CDC Administration Emergency Department 92

EMDocs

JUNE 25, 2024

Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion. Calculating fluid resuscitation: Parkland formula: 4 mL X % TBSA X weight in kilograms. IOs and central lines are also options. J Burn Care Res.

Burns 97

Burns Fluid Resuscitation Resuscitation Poisoning 97

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s.

Poisoning 89

Poisoning Seizures Pediatrics EMS 89

Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is the fourth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. The select bibliography will provide ample links to extend your reading. “Carbon Dioxide Resuscitation?” You think to yourself, “ What could that be?” In 1927, H.W.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Emergency Medicine Cases

NOVEMBER 30, 2021

Sarah Reid on differentiating septic arthritis from transient synovitis in pediatric limp, Anand Swaminathan on managing tracheostomy complications in the ED, Nour Khatib on rural medicine and ethylene glycol poisoning, Justin Morgenstern on RCTs for ketamine in patients with severe agitation.

Poisoning 52

Poisoning EMS Pediatrics Resuscitation 52

EMDocs

JULY 30, 2024

When should I suspect PNU poisoning? How do I treat PNU poisoning? Background: N-3-pyridylmethyl-N-p-nitrophenylurea (PNU, Pyrinuron, Pyriminil) was released in 1975 as a “safe” poison to use against mice resistant to anticoagulant rodenticides.¹ Fortunately, PNU poisoning is rare. Questions What is PNU? N Engl J Med.

Poisoning 74

Poisoning Seizures Fluid Resuscitation Pediatrics 74

Mind The Bleep

OCTOBER 29, 2024

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7. This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

Poisoning 69

Poisoning Resuscitation 69

Emergency Medicine Cases

MAY 21, 2019

Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care.

Airway Management 52

Airway Management Burns Resuscitation Fluid Resuscitation 52

Taming the SRU

OCTOBER 1, 2024

Anterior fat pads can be normal Galeazzi injuries are a radial shaft fracture with an ulna dislocation whereas Monteggia injuries are ulna fractures with radial dislocations Scaphoids injuries are prone to avascular necrosis due to variable blood supply r2 cpc: Acute Salicylate toxicity WITH drs. C above historical average.

Dislocations 74

Dislocations Fractures Poisoning Academics 74

Taming the SRU

FEBRUARY 7, 2024

Ferreri Bedside US can allow for rapid diagnosis as well as narrowing of a broad differential Bedside ultrasound, specifically in the peri-arrest period, can alter direction of resuscitation acutely Bedside ultrasound provides actionable data for your consultants to act upon Consider US as an extension of your physical exam Landmark Studies of EM For (..)

PPE 98

PPE Administration Ultrasounds Poisoning 98

Northwestern EM Blog

MAY 2, 2022

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

Burns Poisoning EKG/ECG Operations 52

EMDocs

APRIL 10, 2024

2] Labs that may be useful after the initial resuscitation and for the admitting physician may include a basic metabolic panel and an arterial or venous blood gas analysis. [2] Poisoning & Drug Overdose. Epidemiology Most common cause: inadvertent intravascular injection. per 10,000 cases of peripheral nerve blocks. [3]

Advances Cardiac Life Support (ACLS) 111

Advances Cardiac Life Support (ACLS) Seizures EMS Poisoning 111

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, clinical skills, critical care, resuscitation, and trauma management. Review the Exam Syllabus: Carefully go through the exam syllabus to identify the key topics and areas that will be tested.

Infectious Diseases 52

Infectious Diseases Airway Management Dislocations Poisoning 52

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, critical care, resuscitation, trauma management, and relevant guidelines. Review the Exam Syllabus: Carefully review the exam syllabus to identify the key topics and areas that will be tested.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

Cook County EM Blog

MAY 29, 2023

As resuscitation measures are underway, you obtain collateral from EMS and parents. If the patient does not respond to resuscitative measures, cardiopulmonary bypass and extracorporeal membrane oxygenation may be considered. Early consultation with the poison center is prudent. Bishop-Freeman, Erin M.

Seizures 52

Seizures Poisoning Resuscitation Administration 52

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.

Poisoning 52

Poisoning Administration Hospitals Sepsis 52

University of Maryland CC Project

MAY 25, 2023

Rose, MD, MBA, Associate Professor of Medicine, Interim Chair of the Department of Dermatology, and Associate Dean of Innovation & Physician Science Development at the University of Maryland SOM and Director of Faculty Entrepreneurship at the University of Maryland Baltimore presents our Critical Care Grand Rounds with a lecture entitled, “Developing (..)

Resuscitation 40

Resuscitation Poisoning 40

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

Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Taming the SRU

APRIL 10, 2023

Patient remained hypotensive after fluid resuscitation and was admitted to the CVICU for management. During his admission, the patient’s blood pressure improved with correction of hypovolemia with crystalloid fluid resuscitation, and his CK and troponin trended downward. Journal of Medical Toxicology. 2013;9(2):179-183.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Administration Emergency Department 52

Thinking Critical Care

MAY 18, 2023

This hypovolaemic shock state was to be maintained for one or two hours before the shed blood was retransfused and the effect of experimental drugs on resuscitation could be tested. [11] I do not recall one experiment getting as far as the resuscitation stage. The reason became clear. There are post scriptums to this story.

Shock 40

Shock Research Resuscitation Sepsis 40

ACEP Now

MARCH 6, 2024

Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial. Effect of lower vs higher oxygen saturation targets on survival to hospital discharge among patients resuscitated after out-of-hospital cardiac arrest: the exact randomized clinical trial. 2023;330(23):2267.

Research 52

Research Airway Management Stroke Outcomes 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. 2) Hypoxia, including poisons of oxidative phosphorylation such as HS, CO, CN. 3) Anemia, or poisons of hemoglobin such as methemoglobin or CO 4) Fixed coronary stenosis that limits flow.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

ACEP Now

FEBRUARY 11, 2024

Management of symptoms is the same for all of these, relying upon fluid resuscitation, antiemetics, and electrolyte repletion. Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Diabetes Care. 2018;41:258–66. CNN website. Published December 18, 2023.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

Mind The Bleep

SEPTEMBER 12, 2023

Did the baby need resuscitating? What were the APGAR signs? If so, were they intubated and admitted to NICU? Were they cooled? Were the cord gases poor? cord gases are venous and arterial blood sampled from the umbilical cord after birth and give you a pH, base excess, bicarbonate, pC02 and sometimes a lactate.

Sepsis 52

Sepsis Seizures Poisoning Wellness 52

Mind The Bleep

JULY 8, 2023

Start with the actual question and answers and apply these to the stem to find the information, for instance asking “What is the most likely poison”, but only one causes a raised anion gap, you can search the stem for the anion gap to select or exclude it. Life Advice Sitting MRCP is a careful balancing act which feels impossible.

EKG/ECG 52

EKG/ECG Wellness Hyperthermia / Hypothermia Poisoning 52

Pediatric Emergency Playbook

JUNE 1, 2016

Is this in an infarction, an infection, a poisoning? for the American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation; American Heart Association Council on Peripheral Vascular Disease; American Heart Association Council on Arteriosclerosis, Thrombosis and Vascular Biology. Crit Care Med.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

EMDocs

JANUARY 4, 2024

6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. An 11-year review of bupropion insufflation exposures in adults reported to the California Poison Control System. Case Follow-up: The patient required a dose of lorazepam in the emergency department.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

RebelEM

JUNE 12, 2024

According to the 2022 Annual Report of the National Poison Data System from America’s Poison Center, CCBs and BBs account for the sixth and seventh largest number of fatalities from overdose. Patients often succumb to volume overload given pre-existing cardiac disease and the volume of medical resuscitation through their hospital stay.

Poisoning 101

Poisoning Stroke Shock Resuscitation 101

Intensive Blog

FEBRUARY 9, 2023

Show answer In this case, the history pointed towards mushroom poisoning. Most cases of mushroom poisoning are self-limiting episodes of gastrointestinal upset. There are many different syndromes associated with mushroom poisoning in Australia including cholinergic, hallucinogenic, glutaminergic, disulfram-like and hepatotoxic 3.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

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 98

Poisoning Airway Management Seizures PPE 98

EMDocs

JULY 19, 2023

Diagnosis and Management: Whole blood mercury concentrations are the most useful for diagnosis of organic mercury poisoning, as organic mercury undergoes little urinary excretion. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast. Adverse Drug React Acute Poisoning Rev. Am J Cardiol.

Poisoning 92

Poisoning Fluid Resuscitation Administration Seizures 92