Browsing: Toxicology

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Toxicology

A Case of Paralytic Shellfish Toxin Poisoning in the Aleutian Islands

4/15/2024 Sarah Spelsberg, MD, FAWM, FEWM , Megan Sarnecki, MD , Sara Filmalter, MD, CAQSM, FAWM, DIDMM , Abraham Boxx, BCP, BSN, RN, TCRN, CFRN, CCRN, CEN, NRP, FP-C, FAWM , Heather Edmison, FP-C , Holli Carter, RN, BSN, CCRN, CFRN
Paralytic shellfish poisoning (PSP) is caused by eating filter feeders contaminated by paralytic shellfish toxin from algae. Toxin levels contained in a single shellfish can be fatal to humans. In cas
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Toxicology , Cardiology , Addiction Medicine

Dangerous Pill to Swallow: A Case Report

4/15/2024 Alaina Royalty, MD , Matthew Eisenstat, MD, FAAEM
Recent literature shows that illicit benzodiazepines have been associated with significant impairment, have higher potencies than standard benzodiazepines, and are harder to identify via screening met
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Op-Ed , Addiction Medicine , Recreational Drugs

The Fentanyl-Tainted Drug Supply Requires EDs to do More

3/26/2024 Timothy Kelly, MD
The ever-growing frequency of patients presenting to the emergency department with fentanyl overdoses — and fentanyl’s surging presence in cocaine and other black-market drugs — demands that we, as em
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Addiction Medicine , Toxicology , Medications

Case Report: A Review of Clonidine Overdose Management

3/19/2024 Rachel Martin, MD , Andrew Morgan, DO , Mark Gustafson, DO
Clonidine is a widely available drug and has been seen as the culprit in an increased number of intentional and accidental overdoses. Symptoms of toxicity include hypertension or hypotension, bradycar
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Critical Care Alert , Critical Care , Airway , Toxicology

Critical Care Alert: Effect of Noninvasive Airway Management of Comatose Patients with Acute Poisoning: A Randomized Clinical Trial

2/22/2024 Alex Lucas, MD , Christian Kasianko, MD , Dustin Slagle, MD
How reliable is the old adage, "GCS less than 8, intubate"? A randomized trial examines the effect of intubation vs. noninvasive airway management for poisoned patients with GCS less than 8.
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Toxicology , Cardiology

ECMO…The Ultimate Antidote?

1/15/2024 Mason Jackson, MD , Lindsay Davis, DO, MPH, NRP , Brittany Ladson, DO
There is no shortage of literature supporting the role of ECMO in acute coronary syndrome, sepsis, acute respiratory distress syndrome, cardiac arrest, pulmonary embolism, traumatic pulmonary contusio
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Neurology , Nephrology , Toxicology

Valacyclovir-Associated Neurotoxicity in End-Stage Renal Disease

1/15/2024 Chad Barnhart, MD, EMT-P , Matthew Ball, MD , Michael B. Holbrook, MD
Valacyclovir-associated neurotoxicity (VAN) is a relatively rare phenomenon. This case report details a unique presentation of VAN in a hemodialysis-dependent patient. It underscores the importance of
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Toxicology

The Dangers of Delta-8

9/15/2023 Brittany Ladson, DO
Marijuana, THC (tetrahydrocannabinol), and CBD (cannabidiol) products are becoming increasingly popularized and legalized in our society. With the proliferation of these products’ use also comes accid
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Toxicology , Pediatric EM , Wilderness Medicine

The Teeny Tiny Mighty: A Case of Pediatric Envenomation With the Western Pygmy Rattlesnake

8/1/2023 Mounir Contreras, MD , Daniel Rivera, MD , Sing-Yi Feng, MD, FACMT
Western pygmy rattlesnake envenomations are a rare occurrence but should not be underestimated, as they cause significant morbidity. FabAV, also known as CroFab® (generic: crotalidae polyvalent immune
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Dermatology , Hematology , Oncology , Toxicology

Warfarin-Induced Skin Necrosis: Not Your Typical Rash

4/15/2023 Brandon Murdock, MD , Chung-ting J. Kou , Paul A. Gonzales , David M. Crawford
Warfarin-induced skin necrosis (WISN) is a rare condition thought to be due to microvascular thrombosis and ischemia and is commonly related to protein C deficiency. Recognition of WISN is critical to

#FOAMed and External Sources

A (Mostly) Unnecessary Antivenin

Emergency Medicine Literature of Note 04/11/2019

Diving to Save Lives

Emergency Medicine Literature of Note 06/26/2017

Can You Diagnose GHB Intoxication Clinically?

Article a Day - JournalFeed 04/23/2021

Emergency Management of Tricyclic Antidepressant Overdose

HQMedEd.com 08/21/2015
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