Take-Home Naloxone: Preventing Death in an Era of Abuse
The United States is in the midst of an opioid epidemic, resulting in a significant increase in overdose deaths.1 From 2000 to 2014, there was
Mad as a Hatter: Physostigmine for Delirium Control in Anticholinergic Toxicity
A 34-year-old female with a history of bipolar disorder, depression, and multiple previous suicide attempts is brought
Weeding through the Effects of Marijuana Legalization
Legalization of marijuana has become a heated topic in the United States as 8 states and Washington, D.C., have legalized it for recreational use
Poisoned Pump: Management of Calcium Channel Blocker Toxicity
A 46-year-old male with a history of hypertension presents after an intentional overdose of 500 mg of amlodipine 1 hour prior to arrival.
The Danger of Weight Loss Supplements
A 54-year-old male presents with a chief complaint of heat exhaustion. He is a truck driver who has been traveling across the country without air conditioning. P
Gasping for Air: Albuterol-Induced Lactic Acidosis
Pyruvate + NADH + H+ †” lactate + NAD+ Lactic acidosis is a commonly encountered phenomenon within the emergency department (ED). In the setting of
Bupropion: Skinny Happy Drug or Toxicologic Menace?
A 24-year-old woman with a history of bulimia and depression is brought to the emergency department by ambulance. The patient is agitated and unab
How LOW Can You Go? Sulfonylurea-Induced Hypoglycemia
A 66-year-old female with a past medical history of diabetes mellitus type two and dementia presents to your emergency department with hypoglycem
5-Step Approach to Marine Envenomations
When medical toxicologist Matthew Sztajnkrycer, MD, FACEP, was a second-year resident, he answered a truly strange telemetry call. EMS had arrived on scene of
Emerging Drugs of Abuse
A number of new synthetic drugs have penetrated the United States markets and our emergency departments over the past several years. Poison control centers have experienced an