Up to date review and in depth analysis of Emergency Medicine toxicology topics
EM-CCM Conference 1/21/15 Fire Exposure/Injuries Presented by: Dr. Danica Gomes Summary by: Dr. Kaycie Corburn The Case: 60 yo F unknown PMH BIBEMS from a house fire. There were known fatalities at this house fire. The patient was being ventilated by EMS personnel via BVM on arrival. Triage vitals revealed Read more…
Welcome to the Kings County/SUNY Downstate toxicology blog series. In our first case, we will discuss the differential diagnosis and management of the poisoned patient who presents with hypotension and bradycardia. Case A 23 year old female is brought in by EMS after an intentional overdose. She reports taking a Read more…
Weber, et al. Prehosp Emerg Care, 2mg naloxone nebulized with 3mL normal saline 105 cases- 22% complete response, 59% partial response, 19% no response No adverse events, no intubations or BVM ventilations Only 10% were given a second dose of naloxone Unclear how response was determined (likely subjective) Baumann et Read more…
Ackee fruit grows mostly in the Caribbean islands and West Africa. The unripe fruit contains hypoglycin A. A metabolite of hypoglycin A binds to carnitine and coenzyme A, making them unavailable for metabolic reactions. Lack of these enzymes leads to inability to perform gluconeogenesis. When ackee fruit is allowed to Read more…
Gamma-Butyrolactone (GBL) is an addictive depressant used for its euphoric and sleep inducing effects. It is a prodrug to GHB. GBL can be synthesized from gamma-hydroxybutyric acid (GHB) by removal of water or by distillation from such a mixture. Pathophysiology: GBL readily crosses the blood-brain barrier with rapid onset Read more…
EM CCM Conference: October 2013 BETA-BLOCKER TOXICITY PRESENTED BY DR. KENDALL SUMMARY BY DR. YOUN The Case: HISTORY: 91F with HTN, DM on carvedilol, labetalol BIBEMS for weakness, dizziness, and near-syncope. VITALS: BP 76/38, HR 41 PRIMARY INTERVENTIONS: Intubation, fluids, atropine, dopamine drip, pacer pads applied PHYSICAL:, Read more…