EMDocs

AUGUST 17, 2023

This collection of posts features recently published must-know articles. Today we look at the CENSER trial. mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1%

Overdose 86

Overdose ACS Critical Care ED 86

FOAMfrat

AUGUST 28, 2024

Arterial blood gases (ABG) can be pretty intimidating, especially for providers who are new to critical care medicine. There are many underlying causes, such as stroke, central nervous system depression (opioid overdose, etc.), and muscular insufficiencies from conditions such as myasthenia gravis.

Critical Care 98

Critical Care Overdose OR ALS 98

Critical Care Scenarios

JANUARY 4, 2023

Simple intoxications like baclofen overdose can cause incredibly dense coma. . * Give thiamine indiscriminately and widely to patients with altered mental status; it is harmless and Wernicke-Korsakoff may fool you. Start with the history and meds. Inquire as to recent history of behavioral changes, neurologic phenomena, illness, etc.

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Overdose OR 100

Critical Care Scenarios

MARCH 29, 2023

Acute iron overdose can cause anion gap acidosis, GI symptoms including bleeding, and shock and an overal critically ill presentation. Correlate cautiously with the clinical picture (e.g. opioid toxicity may not explain encephalopathy in a patient with normal pupils and hyperventilation), or simply don’t send it to begin with.

Overdose 100

Overdose OR EMS 100

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

This EKG was recorded as part of a standing order for critical care. He had been smoking an opiate and suddenly collapsed. He was ventilated with BVM on arrival. He awoke with naloxone. He denied any CP or SOB. An EKG was repeated at 5 minutes The T-wave is less hyperacute. Maybe there is some spontaneous reperfusion?

Overdose 52

Overdose OR Coronary ACS 52

Handtevy

AUGUST 15, 2022

Sodium bicarbonate is indicated for select patients including preexisting metabolic acidosis, hyperkalemia, or tricyclic antidepressant overdose. However, many providers are still administering it for cardiac arrests even though we know it makes matters worse.

CPR 52

CPR ICU Overdose Critical Care 52

NAEMSP

APRIL 19, 2023

Calcium is also frequently used in the treatment of hyperkalemia, calcium channel blocker overdose, hypermagnesemia, and hypocalcemia and may be more likely to be used when one of these diagnoses is the suspected cause of cardiac arrest. Pediatric Critical Care Medicine, 23 (11), 860-871. References: 1. Ramazan, K.,

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose Defibrillator 52

ESO

APRIL 19, 2024

Aligning Community Data for the Common Good by Michael Baker , MA, EFO, Fire Chief at Tulsa Fire Department and Justin Lemery , Director of EMS, Tulsa Fire Department discussed the far-reaching positive effects that reviewing data and creating community partnerships can have in overcoming homelessness, overdoses, and chronic illness.

MIH 105

MIH EMS Paramedic Firefighter 105

Core EM

JANUARY 25, 2024

Background: An update to our 2015 post on HIET for beta-adrenergic receptor and calcium channel antagonists overdose. Beta-adrenergic receptor antagonists (Beta blockers, BB) and calcium channel antagonists (calcium channel blockers) are common drugs that can produce profound cardiac depression and shock when taken in overdose.

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Overdose ALS Epinephrine ICU 246

JEMS

JUNE 11, 2025

He has 33 years of EMS experience, beginning in the early 1990s, having been certified at various times as a an EMT, an EMT-I, a critical care technician and a paramedic. This was called Critical Care Technician. Critical Care Technician Sunset Survey [Internet]. Reference 1.

EMT 98

EMT EMT AEMT Mobile Integrated Health 98

JEMS

JUNE 12, 2025

The Frontline Meets the Formulary: Why It Matters Whether responding to a rural 911 call or managing critical care transports in a bustling metro, you have likely encountered patients taking one—or several—of the nation’s top-selling medications. It would be a great display in training centers, simulation labs and EMS stations.]

Mobile Integrated Health 98

Mobile Integrated Health EMS E-9-1-1 Community Paramedicine 98

FOAMfrat

DECEMBER 26, 2024

Unlike other methods, such as firearms, hangings, intentional overdoses, and cutting, chemical suicides tend to linger in the area where the act was committed. Critical Care Clinics, 39(2), 429-441. These methods can provide severe risk to responders even after the victim has succumbed to his or her inflicted injuries.

Epinephrine 116

Epinephrine First Responder OR CAD 116

EMDocs

JANUARY 4, 2024

Questions: What are the clinical manifestations of bupropion overdose? How is bupropion overdose treated? How long should a patient be observed after a bupropion overdose? 1 In addition to intentional overdoses, there are multiple case studies of abuse (ingestion, insufflation, injection). hours, SR 3 hours, XL 5 hours.

Overdose 85

Overdose E-9-1-1 ALS Emergency Department 85

Emergency Medicine Ireland

DECEMBER 27, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. In overdose it does indeed form part of the anion gap of unmeasured anions along with lactate. This time round we’ll look at an oldie but a goodie: salicylate poisoning.

Critical Care 40

Critical Care Overdose OR EMS 40

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). In our case, the patient had accidentally overdosed on drugs prior to being found. Jessica Pelletier, DO (EM Attending Physician, Washington University in St.

Defibrillator 97

Defibrillator CPR Epinephrine Life Support 97

EMDocs

DECEMBER 16, 2023

Critical Care : the Official Journal of the Critical Care Forum., Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C link] Bouchama, Dehbi, M., & Chaves-Carballo, E. Cooling and hemodynamic management in heatstroke: practical recommendations.

EMS 88

EMS Heatstroke Emergency Department First Aid 88

EMOttawa

OCTOBER 17, 2024

We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from stimulant and other substance use.

OR 80

OR Critical Care Overdose EMS 80

Dr. Smith's ECG Blog

MAY 6, 2025

Cocaine With the reported ingestion of the white powder, and seizure, there was strong suspicion of cocaine toxicity in this patient (in other settings, we would need to be cognizant of possible TCA overdose). An IV was placed, and bloods were drawn, including a venous blood gas. is highly suspicious for sodium channel blockade.

Overdose 116

Overdose ICU Critical Care ED 116

ACEP Now

FEBRUARY 11, 2025

He was admitted for a suspected kratom overdose and acute kratom withdrawal. 7 Most of the difficulty in identifying patients who have overdosed or are in acute withdrawal from kratom comes from the inability to test for it in commercial assays of blood or urine. A dexmedetomidine (Precedex) 400 mcg in 0.9

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89