Category: Activated Charcoal

Bradycardic on the Toilet

You are the junior resident working in the Critical Care and Trauma unit of the ED. You think to yourself that it’s a quiet day….then…EMS brings in a patient. The patient is a 67 year-old woman with history of type…

TOX: Chasing the Dragon Away

  Written by Adam Blumenberg MD Special thanks to Sage Wiener MD   It’s four o’ clock on a gentle Sunday afternoon. You stir the dregs of your Turkish coffee, secretly hoping for an exciting patient to fill the last…

TOX: One Too Many Bloody Marys

  Written by Adam Blumenberg MD Special Thanks to Sage Wiener MD About halfway through your shift in the critical care area of the ED, you are wrapping up a conversation with the medical ICU team about an elderly patient…

TOX: Sweet talk & slurred speech

  About halfway through your relatively quiet shift in the Critical Care & Trauma area of your ED you hear an overhead notification, “stroke code to triage!” You and Padma the intern set down your tasty cappuccinos and speed walk…

Not another case of AMS….

A 70 y/o woman with CHF, irregular heart beat and DM presents with malaise, nausea, vomiting and diarrhea x 1 week. On exam, she appears weak and confused. Vitals are normal except mild bradycardia. FS is 100. EKG is shown.…

Tox Craze

Written by Alex Brevil A 52 y/o woman w/ fibromyalgia is found alone in her room in a confused state by her maid. She recently lost all of her retirement money and constantly “Blames Obama.” She is then rushed to…

A Tox Mystery….

By Dr. Alex Brevil This drug causes this rash…   This drug caused an outbreak of agranulocytosis among healthy 20 year olds… The drug is widely available in countries with a large livestock industry (for use as antihelminthic)…    …