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 90

Poisoning Hyperthermia / Hypothermia Seizures Administration 90

ACEP Now

FEBRUARY 6, 2024

Dr. Filip is the medical director of the Arkansas Poison Center and faculty member in the emergency medicine residency at UAMS. Artifactual elevation of lactate in ethylene glycol poisoning. Ethylene glycol poisoning presenting with a falsely elevated lactate level. References Hack J. 2023;43(10):20-21. J Emerg Med. 2009;27:132.e1-132.e2.

Poisoning 52

Poisoning Pediatrics Shock Research 52

EM Ottawa

FEBRUARY 26, 2024

Question and Methods: Multicenter RCT involving comatose patients with suspected acute poisoning and GCS <9 compared a conservative airway strategy of withholding intubation versus routine practice for the primary hierarchical composite end point of in-hospital death, length of ICU stay, and length of […] The post Effect of Noninvasive Airway (..)

Airway Management 66

Airway Management Poisoning Hospitals 66

Medical Law

OCTOBER 24, 2022

According to the CDC, over 400 people die every year from unintentional Carbon monoxide poisoning. Carbon monoxide (CO) is a poisonous gas that can be fatal when inhaled. If you suspect CO poisoning, exit the premises and contact the fire department right away. Symptoms of CO Poisoning. Common Sources of CO Poisoning.

Poisoning 52

Poisoning Burns CDC 52

ACEP Now

JANUARY 9, 2024

Incidentally, the day after ED visit number one, the mother was called by the child’s pediatrician advising her to bring him for evaluation of lead poisoning. In the emergency department, consultations were made with the regional poison-control center and the regional lead center. Discussion Lead poisoning is a serious health concern.

Poisoning 52

Poisoning Pediatrics Emergency Department Wellness 52

Emergency Medicine Cases

MARCH 14, 2023

In this main episode podcast we explore a dozen pitfalls in the assessment and management of acetaminophen poisoning. What are indications for fomepizole and dialysis after acetaminophen poisoning? Is hyperphosphatemia the best predictor of need for liver transplant in acetaminophen poisoning? and many more.

Poisoning 52

Poisoning Outcomes EMS 52

EMDocs

JANUARY 25, 2024

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Warfarin is poison – and not just for rats Spinal epidural hematoma leaves patient paralyzed Facts : A 68-year-old male presents to the ED at the end of the night shift complaining of a 2 day history of 8/10 neck pain radiating to his upper back and increasing with movement.

Poisoning 70

Poisoning Documentation/Coding Patient Safety Hospitals 70

University of Maryland CC Project

JANUARY 3, 2022

Dr. Jamieson presents a lecture on poisonings and toxidromes as part of the DC5 lecture series. Dr. Jamieson presents a lecture on poisonings and toxidromes as part of the DC5 lecture series.

Poisoning 40

Poisoning 40

Emergency Medicine Cases

OCTOBER 11, 2022

The post EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM appeared first on Emergency Medicine Cases.

Poisoning 52

Poisoning EMS Pediatrics Wellness 52

Emergency Medicine Cases

DECEMBER 5, 2017

In this EM Cases Best Case Ever Hans Rosenberg and Rajiv Thavanathan discuss recognition and management pearls and pitfalls in salicylate poisoning. They answer question such as: What are the most important diagnostic clues of salicylate poisoning in the patient who presents with undifferentiated fever and altered level of awareness?

Poisoning 76

Poisoning EMS 76

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

Board Bombs

NOVEMBER 5, 2019

We expose this ugly truth along with why American Lit majors always get CO poisoning on tests. We expose this ugly truth along with why American Lit majors always get CO poisoning on tests. Let’s talk CO, hyperbaric, and when to do it. Want to experience the greatest in board studying? Let’s talk CO, hyperbaric, and when to do it.

Poisoning 40

Poisoning 40

Emergency Medicine Ireland

DECEMBER 27, 2021

This time round we’ll look at an oldie but a goodie: salicylate poisoning. This time round we’ll look at an oldie but a goodie: salicylate poisoning. I have not seen one of these in quite some time but it is a classic tox. Read More » Welcome back to the tasty morsels of critical care podcast.

Poisoning 40

Poisoning Seizures EMS 40

Emergency Medicine Cases

DECEMBER 8, 2020

In this month's EM Quick Hits podcast: Anand Swaminathan on lateral canthotomy, Emily Austin on pediatric cannabis poisoning, Reuben Strayer on an approach to hyperthermia, Brit Long on diagnosis and management of malignant otitis externa, Jesse McLaren on ECG diagnosis of occlusion MI in patients with BBB and Peter Brindley on prone CPR.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia CPR Poisoning EMS 52

Emergency Medicine Cases

AUGUST 27, 2019

The post Rapid Reviews Video – Low and Slow Poisoning Part 2: Digoxin Overdose appeared first on Emergency Medicine Cases. In this Rapid Reviews Video Nick Clarridge covers an approach to the bradycardic and hypotensive patient as well as the recognition, management and controversies of digoxin overdose.

Poisoning 52

Poisoning Wellness EMS 52

EB Medicine

DECEMBER 1, 2023

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2023 Pediatric Emergency Medicine Practice article, Management of Pediatric Toxic Ingestions in the Emergenc y Department. Need help now?

Pediatrics 96

Pediatrics Poisoning EKG/ECG 96

Emergency Medicine Cases

FEBRUARY 23, 2021

The post EM Quick Hits 26 LAST, Sodium Nitrite Poisoning, Post-intubation Care, Tetracaine for Corneal Abrasion, ST Segment in Occlusion MI, Coping with COVID appeared first on Emergency Medicine Cases.

Poisoning 52

Poisoning EMS 52

Emergency Medicine Cases

FEBRUARY 12, 2019

On this EM Quick Hits podcast we have Emily Austin on organophosphate poisoning, Arun Sayal on malrotation of metacarpal fractures, Andrew Petrosoniak on pitfalls in abdominal stab wound management, Anand Swaminathan on tranexamic acid for non-massive hemoptysis, and Natalie May on pediatric IV cannulation tips and tricks.

Poisoning 52

Poisoning Fractures Pediatrics EMS 52

Emergency Medicine News

JANUARY 31, 2024

An abstract is unavailable.

Poisoning 98

Poisoning 98

ALiEM

NOVEMBER 15, 2023

Although poisoning by ingestion of cyanogenic foods is much more common in tropical countries, there have been reported cases in the US [1, 3]. What are the symptoms of cyanide poisoning? How to you treat cyanide poisoning? [1, Hydroxocobalamin is the preferred antidote for cyanide poisoning. Journal of Acute Disease.

Poisoning 66

Poisoning Pediatrics Seizures Administration 66

ALiEM

OCTOBER 11, 2023

There is increasing frequency of human poisonings from ingestion of tetrodotoxin-containing pufferfish in less traditional areas, including multiple countries in the Mediterranean as well as the US, Australia, New Zealand, and Spain [5-7]. What is the clinical presentation of tetrodotoxin poisoning following pufferfish ingestion? [4,

Poisoning 80

Poisoning Burns Wellness Outcomes 80

RebelEM

DECEMBER 13, 2023

Carbon monoxide poisoning may lead to delayed neurologic sequalae – a constellation of dementia, psychosis, parkinsonism, amnestic syndromes, among other neurologic impairments. Weaver 2002 ) As always, call your local toxicologist or regional poison control center to help determine the need for hyperbaric therapy. N Engl J Med.

Poisoning 92

Poisoning EMS 92

EMDocs

JANUARY 17, 2024

8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

Poisoning 66

Poisoning Seizures Pediatrics Administration 66

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 63

Poisoning CDC Administration Emergency Department 63

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. C, Organophosphate; 2.

Poisoning 79

Poisoning Airway Management Seizures PPE 79

Emergency Medicine Cases

JANUARY 3, 2017

The post Episode 90 – Low and Slow Poisoning appeared first on Emergency Medicine Cases. And inevitably we’re gonna be faced with both intentional and unintentional overdoses from these drugs in the ED. If we can recognize these overdoses early and manage them appropriately, well - we’ll save some lives.

Poisoning 40

Poisoning Wellness EMS 40

Emergency Medicine Cases

DECEMBER 20, 2023

In this ECG Cases Dr. Jesse McLaren delves into ECG interpretation in toxicology and the poisoned patient using his HEARTS approach in 7 case examples. Heart rate/rhythm: consider antidotes for brady/tachy-arrhythmias, and for sinus tachycardia consider fluids for vasodilation and benzodiazepines for agitation.

EKG/ECG 79

EKG/ECG Poisoning EMS 79

Broome Docs

APRIL 30, 2024

PMID: 38497992 Preventing poison ivy? Cost-effective post-exposure prevention of poison ivy dermatitis. Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room: A Cluster Randomized Clinical Trial. 2024 Mar 18:e240762. doi: 10.1001/jama.2024.0762. Int J Dermatol. 2000 Jul;39(7):515-8. doi: 10.1046/j.1365-4362.2000.00003.x.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

Pediatric EM Morsels

SEPTEMBER 8, 2023

Today, let’s consider a condition that occurs in the summer and may cause itching like there are ants/squirrels in your pants – Lion’s Mane Penis or Summer Penile Syndrome : Summer Penile Syndrome: Basics Acute hypersensitivity reaction (Shah, 2021) Due to bites from chiggers or Trombiculidae mites (Schulert, 2014) Can also be caused by (..)

Poisoning 202

Poisoning Pediatrics EMS 202

Taming the SRU

APRIL 17, 2023

Poison centers across the United States receive over 100,000 reports of exposures to toxic plants annually. More serious poisonings typically involve adults who ingest plants in larger quantities for recreational, self-harm, foraging or medicinal purposes (1). Spring has sprung. and so have many species of toxic plants! Decontaminate.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

ACEP Now

APRIL 2, 2024

8 Diagnosis and Treatment Food poisoning may result in a similar clinical manifestation as Toxic Hypoglycemic Syndrome. Poison control was consulted, and they concurred with the diagnosis of THS. Ackee fruit poisoning in eight siblings: implications for public health awareness. References Katibi OS, Olaosebikan R, et al.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

Pediatric EM Morsels

MARCH 17, 2023

Call your friends … at the Poison Center! Your state poison center and local toxicologists are a wealth of knowledge and help for management and treatment. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S. in wetlands, rivers, and lake areas Coral snakes inhabit the southern U.S. Basics are best!

CDC 130

CDC Poisoning Pediatrics Shock 130

Emergency Medicine Education

MARCH 7, 2024

The watch-and-wait approach, involving close monitoring for individuals with traditional GCS scores <9 and suspected acute poisoning, demonstrated positive outcomes. In November 2023, JAMA published an article on noninvasive airway management among patients with depressed consciousness. Link to article

Airway Management 40

Airway Management Poisoning Outcomes 40

EMDocs

DECEMBER 31, 2023

2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning Brit Long covers the 2023 AHA guideline updates on managing the critically ill poisoned patient. The Utility of MRI in the ED This post from Steven Chapman and Diana Labrada looks at when to get the MRI in the ED setting.

Poisoning 70

Poisoning Shock EMS Hospitals 70

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.

Poisoning 83

Poisoning Burns Resuscitation Pediatrics 83

Northwestern EM Blog

MARCH 28, 2022

Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, the toxic metabolites of ethylene glycol cause end-organ damage at levels greater than 20mg/dl.

Poisoning 52

Poisoning Seizures Administration Pediatrics 52

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. 2013;6:524.

PPE 67

PPE Poisoning Seizures Emergency Department 67