Remove Poisoning Remove Resuscitation Remove Seizures
article thumbnail

2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

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 112
article thumbnail

ToxCard: Iron

EMDocs

In the late 1990s, iron was the leading cause of poisoning deaths reported to poison control centers for children less than 6 years of age. Characterized by hypovolemia, vasodilation, reduced cardiac output, hyperventilation, elevated temperature, seizure, coma, and cardiovascular collapse. Can progress to hepatic failure.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

ToxCard: Benzonatate

EMDocs

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.

article thumbnail

ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

She reportedly received a landmark guided peripheral nerve block with bupivacaine and shortly thereafter developed generalized seizures. 1,5] CNS symptoms include: Seizure, coma, altered mental status. [1] 1,5] CNS symptoms include: Seizure, coma, altered mental status. [1] Poisoning & Drug Overdose. mL/kg/min. [2]

article thumbnail

ToxCard: PNU (Vacor)

EMDocs

Shortly after this, he began vomiting, and developed a tonic clonic seizure. There was no prodromal illness, recent trauma, polyuria or polydipsia, family history of seizure disorder or diabetes. When should I suspect PNU poisoning? How do I treat PNU poisoning? Fortunately, PNU poisoning is rare.

article thumbnail

emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

Neurologic deficits, seizures, cognitive issues, hearing loss. Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process. Start resuscitating with fluids, and add a vasopressor like norepinephrine. Bacterial meningitis is not common, but it can be devastating if missed.

article thumbnail

The Toxic Shelf

Cook County EM Blog

As resuscitation measures are underway, you obtain collateral from EMS and parents. Signs and symptoms of toxicity include alerted mental status, seizures, CNS depression, apnea, respiratory failure, hypotension, ventricular dysrhythmias, and cardiac arrest. Seizures should be treated with benzodiazepines. 28 June 2019.