Browsing: Toxicology

Toxicology

Top Gun Toxicity: Military-Grade Hydrocarbon Exposure Management in the ED

1/30/2023 E. Mason Jackson, MD , Michael Troise, MD
The ramifications of military fuel leaks extend beyond environmental disasters to acute exposures/ingestions and chronic toxicity. With more than 450 military bases in the United States, many of which
Toxicology , Nephrology

A Case of Intentional Salt Ingestion Leading to Life-Threatening Hypernatremia

1/30/2023 Christopher M Mashiak, MD , Johndavid M Storn, MD , Jennifer V Pope, MD
Acute salt ingestion should be rapidly corrected to reduce serum osmolality. This can be done with an infusion of hypotonic solutions, such as 5% dextrose in water (D5W), with a goal reduction of 1 mm
Toxicology

Buprenorphine Induction: Where We Are and Where We’re Headed

10/10/2022 Lance Shaull, MD
Buprenorphine has been shown to be a safe and effective medication in multiple settings with extensive research on both unobserved induction and physician-observed induction. Emerging evidence suggest
Toxicology

TCA Overdoses and Mimics: Don’t Delay, Don’t Be Led Astray

8/10/2022 Lance Shaull, MD , Andrew Mittelman, MD
At toxic doses, tricyclic antidepressants (TCAs) cause blockade of sodium channels, muscarinic receptors, and alpha-adrenergic receptors. Slowed ventricular contraction, tachycardia, and vasodilation
Toxicology , COVID-19

The Toxicology of COVID

4/10/2022 Michael Keenan, MD , Vincent Calleo, MD
Emergency physicians have watched with excitement the rapid development of COVID-19 vaccines. However, while we were watching the rapid scientific development, there was a concurrent wave of misguided
Toxicology

Bupropion Toxicity

4/10/2022 Mason Jackson, MD , Erik Fisher, MD, FACEP
Initially marketed as an atypical antidepressant for adults, bupropion gained popularity for its use in tobacco cessation and for its lack of sexual side effects commonly seen with other typical antid
Social EM , Toxicology

Coastal Harmful Algal Blooms and Climate Change – Toxic Challenges for Emergency Medicine

4/10/2022 Catharina Giudice, MD , Caitlin S Rublee, MD, MPH , Priya Srihari, MD
Climate health and public health are linked in ways that become more obvious every year. In this context, we will summarize the marine toxins that are sending more patients to the emergency department
Cardiology , Toxicology

Torsades de Pointes after Olanzapine Use for Agitation

4/10/2022 Joshua Hall, DO , Nauman Rashid
Second-generation antipsychotics are becoming more commonly used because of their safety profiles. Nevertheless, this case demonstrates a risk of QTc prolongation and torsades de pointes with olanzapi
Toxicology

Fomepizole for Acetaminophen Toxicity: A Novel Use for a Classic Antidote

12/12/2021 Shelby Randall, DO , Nicholas Titelbaum, MD , Alexa Peterson, DO, MS , Katelynn Baska, DO , Nicole Ovregaard, MPH, CPH
Acetaminophen toxicity is one of the most common causes of liver toxicity in the United States. New data reveals that fomepizole may be hepatoprotective in high dose acetaminophen toxicity when review
Hematology , Pain Management , Toxicology

A Real Pain in the Mouth: Acquired Methemoglobinemia

12/12/2021 Emily Wolery, MD , Cynthia Oliva, MD , K.T. Dyer, MD
Acquired methemoglobinemia, a pathologic condition due to elevated quantities of methemoglobin in the blood, is an infrequent presentation in a healthy adult patient. This case illustrates the risk as

#FOAMed and External Sources

Diving to Save Lives

Emergency Medicine Literature of Note 06/26/2017

Physostigmine

HQMedEd.com 07/30/2015

Can You Diagnose GHB Intoxication Clinically?

Article a Day - JournalFeed 04/23/2021

Emergency Management of Tricyclic Antidepressant Overdose

HQMedEd.com 08/21/2015
View All External Articles