Emergency Medicine Cases

MAY 7, 2019

The post EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips appeared first on Emergency Medicine Cases.

Overdose 130

Overdose STEMI EMS 130

University of Maryland Department of Emergency Med

APRIL 10, 2023

Glucagon therapy in beta blocker and calcium channel blocker overdose is controversial and no high level evidence is available to support or. Click to view the rest

Overdose 40

Overdose OR 40

Silk City Blog

JUNE 2, 2022

While it is generally safely used, overdose can result in the development of liver failure due to APAP’s hepatotoxic metabolites. Hepatic necrosis is preventable in overdose with timely administration of N-acetyl-cysteine (NAC) which restores glutathione reserves, allowing for safe excretion of these hepatotoxic metabolites.

Overdose 40

Overdose EMS OR 40

Emergency Medicine Cases

MARCH 14, 2023

Dr. Emily Austin and Dr. Margaret Thompson answer questions such as: how is massive acetaminophen overdose a totally different toxidrome compared to non-massive overdose? In this main episode podcast we explore a dozen pitfalls in the assessment and management of acetaminophen poisoning.

Overdose 130

Overdose EMS 130

EMergucate

JANUARY 9, 2024

20 year old epileptic woman presented to the emergency department after polypharmacy overdose. Her VBG showed the following: PH = … Continue reading →

Overdose 130

Overdose Emergency Department 130

ALiEM

NOVEMBER 29, 2023

Recently, xylazine has gained attention in the media with increasing reports of xylazine-related overdose deaths in patients. When combined with illicit opioids such as heroin and fentanyl, xylazine may increase the risk of fatal overdose given the augmented sedation and respiratory depression effects [2]. Published May 2023.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

University of Maryland Department of Emergency Med

OCTOBER 4, 2023

BACKGROUND: Emergency Medical Services (EMS) systems, especially those within urban jurisdictions, struggle to effectively meet the need. Click to view the rest

Overdose 62

Overdose Emergency Medical Services EMS 62

EMergucate

AUGUST 10, 2022

You are reviewing a 16 year old girl who has taken an estimated 66-222mg/Kg overdose of her grandmothers SR Theophylline … Continue reading →

Overdose 130

Overdose 130

The Skeptics' Guide to EM

JUNE 24, 2023

EDs are an important touch point for individuals with opioid use disorder (OUD), given the number of encounters for overdose and complications associated with drug use. Fentanyl test strips (FTS) have been suggested as one harm reduction strategy to reduce opioid overdose deaths.

Overdose 176

Overdose Emergency Department ALS ED 176

EMergucate

DECEMBER 20, 2022

This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit.

Overdose 130

Overdose EMS 130

EMS 20/20

APRIL 13, 2022

Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient. Do they take the wrong path? probably, but listen and find out why they go where they go on this week's episode!

Overdose 40

Overdose 40

St. Emlyn's

FEBRUARY 24, 2024

This month we focus on habits, the management of the comatose overdose patient and retention/recruitment issues in UK emergency medicine. St.Emlyn's - Emergency Medicine #FOAMed Our regular podcast round up with @docib and @emmanchester of the best of the blog from January 2024. appeared first on St.Emlyn's.

Overdose 79

Overdose Critical Care 79

EMOttawa

MARCH 28, 2024

Over the past 10 years, opioid overdoses and deaths have continued to climb in Ontario, now surpassing the annual death toll from road traffic accidents. Opioid use disorder is a terrible disease that takes over people’s lives and leaves them overwhelmed, consumed by compulsions and cravings, and often alone.

Overdose 71

Overdose Naloxone 71

EMDocs

JANUARY 17, 2024

What are the treatment options for a benzonatate overdose? 7) Overdose literature review timeline: In 1986, the first two benzonatate fatalities were reported in the literature: a choking infant and an intentional overdose in a teenager. (8) There is no specific toxidrome or antidote for a benzonatate overdose.

E-9-1-1 67

E-9-1-1 Overdose Emergency Medical Services Life Support 67

ACEP Now

JULY 7, 2023

Xylazine is a veterinary sedative that has been increasingly implicated in overdose deaths throughout the United States. percent of all overdose deaths in 2020. 1 Known by street names such as “tranq,” “tranq-dope,” or “zombie drug,” xylazine is increasingly found in patients with opioid overdose. Drug and Alcohol Dependence.

Overdose 98

Overdose ALS Naloxone Emergency Department 98

The Skeptics' Guide to EM

JANUARY 19, 2019

The EMS crew observes drug paraphernalia and suspect an intravenous (IV) opioid overdose. Background: There have been close to 400,000 deaths from an overdose involving any opioid (prescription and illicit opioids) between 1999 and 2017. [1] Wave 2: Rapid increase in overdose deaths involving heroin starting in 2010.

Naloxone 130

Naloxone Overdose Emergency Medical Services Emergency Department 130

EMergucate

OCTOBER 2, 2022

A young man with history of asthma, presented to the emergency department after taking an overdose of his asthma medication. … Continue reading →

Overdose 100

Overdose Emergency Department 100

ALiEM

FEBRUARY 5, 2024

Cambron DO Jun 1, 2023 AIR EM Docs N-acetylcysteine for Acetaminophen Toxicity Eric Sabatini Regueira, MD and Ann-Jeannette Geib, MD Aug 3, 2023 HM EM Docs Methylene blue Quinton Nannet, MD and Christine Murphy, MD Dec 27, 2022 HM EM Docs Acute organophosphate toxicity Daniel Escobar, MD and Ann-Jeannette Geib, MD Jun 7, 2023 HM Core EM Updates in (..)

Overdose 215

Overdose Critical Care EMS Emergency Department 215

Clinical Correlations

APRIL 2, 2024

Jackson Peer Reviewed During the COVID-19 pandemic, opioid overdose deaths increased from 50,000 in 2019 to 80,000 in 2021, largely driven by synthetic opioids such as fentanyl.1 By Sarah M. 1 Despite the escalating use of synthetic.

Overdose 52

Overdose 52

EMergucate

AUGUST 4, 2021

A 60 year old male presents with an overdose. Below is the patients ECG: Describe and interpret the ECG What … Continue reading →

Overdose 130

Overdose 130

The Skeptics' Guide to EM

AUGUST 27, 2022

Case: A 24-year-old male presents to the emergency department (ED) after a fentanyl overdose. You are interested in seizing this opportunity to offer some type of help to this patient to prevent another opioid overdose in his future. He is successfully resuscitated using naloxone and is stable after an observation period.

Emergency Department 100

Emergency Department Naloxone Overdose ED 100

EMergucate

AUGUST 9, 2022

You are reviewing a 16 year old girl who has taken a 120mg/Kg overdose of her grandmothers theophylline tablets. Her … Continue reading →

Overdose 100

Overdose 100

The Skeptics' Guide to EM

APRIL 20, 2024

With the 2014 CDC declaration that prescription drug overdose is one of the five top health threats, there has been a movement away from opioids as the mainstay of pain management for rib fractures [6].

Emergency Department 194

Emergency Department Overdose ALS ED 194

EMergucate

APRIL 11, 2022

20 year old epileptic woman presented to the emergency department after polypharmacy overdose. Her VBG showed the following: PH = … Continue reading →

Overdose 100

Overdose Emergency Department 100

EMergucate

JUNE 21, 2022

17 year old girl presented to ED with aspirin overdose. Her VBG showed the following: PH = 7.45 pCO2 = … Continue reading →

Overdose 100

Overdose ED 100

EMergucate

APRIL 3, 2019

The ECG below is taken from a collapsed 70kg 56 yo man with a known mental health history, thought to have taken a multi-drug overdose.

Overdose 130

Overdose 130

REBEL EM

SEPTEMBER 27, 2023

Value of the QRS duration versus the serum drug level in predicting seizures and ventricular arrhythmias after an acute overdose of tricyclic antidepressants. A Case of Massive Diphenhydramine and Naproxen Overdose. N Engl J Med. 1985 Aug 22;313(8):474-9. doi: 10.1056/NEJM198508223130804. PMID: 4022081. J Emerg Med. 2021.04.020.

E-9-1-1 85

E-9-1-1 Overdose EMS 85

EMergucate

JULY 1, 2020

The following ECG is taken from a 27 year old female who has presented following an intentional overdose of an unknown quantity of escitalopram and alcohol.

Overdose 130

Overdose 130

EMergucate

JUNE 30, 2020

The following ECG is taken from a 27 year old female who has presented following an intentional overdose of an unknown quantity of escitalopram and alcohol.

Overdose 130

Overdose 130

EMergucate

FEBRUARY 1, 2022

According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. A 65 year old female is brought to ED via ambulance on a priority 1. Her GCS is 3 and the team is prepa…

Overdose 100

Overdose Ambulance Paramedic ED 100

EMergucate

FEBRUARY 2, 2022

According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. A 65 year old female is brought to ED via ambulance on a priority 1. Her GCS is 3 and the team is prepa…

Overdose 100

Overdose Ambulance Paramedic ED 100

Emergency Medicine Cases

MARCH 23, 2021

In this month's EM Quick Hits podcast: Justin Morgenstern on colchicine for COVID pneumonia, Victoria Myers on sodium bicarbonate in cardiac arrest, Brit Long on troponin in chronic kidney disease, Michelle Klaiman on GHB overdose, Ian Walker on iloprost for frostbite, Sarah Reid on tips on avoiding patient and parent complaints.

Overdose 130

Overdose EMS 130

REBEL EM

JUNE 5, 2023

Background Information: Opioid overdose deaths have been increasing in the past twenty years. The national number of overdose deaths from any opioid has increased 62.5% In addition, buprenorphine has a lower risk of death from overdose when compared to methadone (2). Drug overdose death rates. Homeless: 32.6%

Naloxone 73

Naloxone ED Overdose Emergency Department 73

Emergency Medicine Cases

APRIL 20, 2021

AV nodal blocker overdose? What are the latest recommendations about dosing of atropine and when is atropine likely to be detrimental? How is the treatment of bradycardia different in the patient with hypothermia? Cardiac ischemia? Myxedema coma? What are the most common pitfalls in utilizing transcutaneous and transvenous pacing?

Overdose 130

Overdose EMS Epinephrine 130

EMergucate

AUGUST 1, 2021

A 60 year old male presents with an overdose. Below is the patients ECG: Describe and interpret the ECG What … Continue reading →

Overdose 100

Overdose 100

Dr. Smith's ECG Blog

NOVEMBER 1, 2022

I was reading EKGs on the system and saw this one. What did I put in as my interpretation? Interpretation : "Acute LAD occlusion until proven otherwise. There is non-diagnostic ST Elevation in V1-V3, with rather large T-waves but in the context of a deep S-wave (high voltage). HOWEVER, lead V4 is diagnostic of OMI.

Overdose 52

Overdose OR Coronary ACS 52

ALiEM

FEBRUARY 20, 2024

Managing cardiovascular collapse in severe flecainide overdose without recourse to extracorporeal therapy. Am J Emerg Med. 2022 Jun;56:394.e1-394.e4. doi: 10.1016/j.ajem.2022.03.006. 2022.03.006. Epub 2022 Mar 9. PMID: 35287973. Devin R, Devin R, Garrett P, Anstey C. Emerg Med Australas. 2007 Apr;19(2):155-9. doi: 10.1111/j.1742-6723.2006.00909.x.

Life Support 183

Life Support Overdose ED 183