Browsing: Toxicology

Toxicology

I Ordered the Urine Drug Screen, Now What? An Overview on Testing, Interference, and Utility of UDS in the ED

4/15/2023 Mason Jackson, MD , Lindsay Davis, DO, MPH, NRP , Alexa Peterson, DO, MS

The urine drug screen is a widely used, but imperfect, diagnostic test. Because of its potential flaws, it should not be used out of context or in isolation, but it remains a valuable test in the tool

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

Torsades -1 - polymorphic-premature-ventricular.jpeg

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

49-2 Toxicology and Climate - anchor image.jpg

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

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

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

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

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Browsing: Toxicology

I Ordered the Urine Drug Screen, Now What? An Overview on Testing, Interference, and Utility of UDS in the ED

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

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

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

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

Torsades de Pointes after Olanzapine Use for Agitation

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

Bupropion Toxicity

The Toxicology of COVID

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

#FOAMed and External Sources

A (Mostly) Unnecessary Antivenin

Diving to Save Lives

Can You Diagnose GHB Intoxication Clinically?

Emergency Management of Tricyclic Antidepressant Overdose

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