Up to date review and in depth analysis of Emergency Medicine toxicology topics
Author: Ryan Walsh, MD Editor: Nicole Anthony, MD THE CASE A 33-year-old woman with unspecified developmental delay is brought to the ED after her friend called EMS for a wellness check and for poor living conditions. There is no collateral information available and the friend (the patient’s only listed contact) Read more…
Author: Alec Feuerbach Peer Reviewers: Trevor Cerbini, Nicole Anthony Faculty Reviewer: Scott Kendall Two years ago, Dr. Trevor Cerbini wrote an excellent post for this blog highlighting the basics – and beauty – of buprenorphine (bupe). He highlighted the staggering mortality of Opioid Use Disorder (OUD), explaining that 5.5% Read more…
PART I – Cyanide Poisoning (aka “Doc, it hurts right here” *points to mitochondria*) Authors: Trevor Cerbini, MD; Alec Feuerbach, MD, Peer reviewers: Nic Anthony, MD; Wesley Chan, MD Faculty reviewer: Sage Wiener, MD From apple seeds to false teeth, Tylenol, and cigarettes, salad bars to kool-aid, cyanide is Read more…
Author: Jane Belyavskya, MD Reviewed by: Sage Wiener, MD Patient presentation A 38-year-old male with no significant past medical history presents with bilateral lower extremity weakness and lower extremity swelling for two weeks. The patient sustained a mechanical fall 10 days ago; he “rolled” his right ankle and fell. He Read more…
Author: Matthew Turner, MD Reviewed by: Sage Wiener, MD Case A 19-year-old man with no past medical history goes hiking in the woods near his college campus in search of “magic mushrooms”. He finds a patch of little brown mushrooms that look similar to the pictures of psilocybin mushrooms Read more…
Cases written by Drs. Desai and Riggins Edited by Noah Berland and Robby Allen Case 1: A 35-year-old male with a history of bipolar disorder presents with nausea, vomiting and diarrhea 3 days after being started on lithium for the first time. He was started on sustained-release 300 mg qd, Read more…
Written by Matthew Behrens MD Reviewed by Sage Wiener MD Case: A 31-year-old man was brought in by EMS after passing out while getting off the bus. Prehospital vitals were: HR 145/min BP 97/53 mm Hg RR 16/min SpO2 96% on 15L NRB Blood Glucose 141 mg/dL EMS placed Read more…
Our toxicology mini-fellowship meeting last week was all about bupe (buprenorphine)! Here is a brief review of the key points of discussion. Why does this matter? As emergency physicians, we are on the frontline in caring for patients with opioid use disorder (OUD). These patients come to the ED Read more…
This is a special post based on recent FDA and CDC advisories Reviewed by Dr. Sage Wiener A 42-year-old man presents to the ED with a history of alcohol use disorder, brought in by EMS for intoxication and acute vision loss. Triage vitals are BP 108/90 mm Hg, HR Read more…
The Case Your notification phone rings, telling you the disaster response team is bringing in an unconscious 25-year-old male. They provide no other information. When he arrives, you get a full story. It turns out that earlier this morning, in a small town nearby, there was no radio response to Read more…