Browsing: Toxicology

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Toxicology , Recreational Drugs , Medications

GHB: A Forgotten Foe Rises

12/16/2019 Garrett Prince, MD , Max Ofoma , Daniel O. Bral, DO, MPH
The classic story of GHB intoxication you may see in your ED — “you are about to intubate a comatose patient and they wake up suddenly.” What next?
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Toxicology , Psychiatry , Neurology

Phenibut Overdose: Coming to an ED Near You

10/10/2019 Megan Hoffer, DO , Michael Tranovich, DO , Richard Houck, DO
This OTC anxiolytic might cause you a little anxiety in cases of overdose. Here's an overview on how to help affected patients.
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Toxicology , Disaster Medicine , Trauma

So I Watched CHERNOBYL… Now What? Revisiting Acute Radiation Syndrome

10/10/2019 Leslie Crosby, MD , Laura Roper, MD , Dorian Jacobs, MD
A targeted look at the effects of radiation sickness and what measures to take for decontamination and initial treatment.
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Toxicology

Alcoholic Ketoacidosis: Mind the Gap, Give Patients What They Need

8/14/2019 Brendan Innes, MD , Stephanie Carreiro, MD
Patients with alcohol use disorder commonly present to the ED critically ill, with myriad underlying pathologies. Alcoholic ketoacidosis (AKA) should be considered in anyone with prolonged and/or bing
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Cardiology , Toxicology

Naloxone in Cardiac Arrest

8/13/2019 Kasha Bornstein, MSc Pharm, EMT-P , Tim Montrief, MD, MPH
Naloxone is a potent opioid receptor antagonist with an excellent safety profile and ability to reverse opioid-associated respiratory depression. Is it as effective when you're faced with patients in
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Toxicology

Intentional Flecainide Overdose: A Case Report

6/10/2019 James M. Gaylor, MD , Andrew Franco, MD , Leah Manchester, MD , Raquel F. Harrison, MD, FACEP
Flecainide overdose is a rare but serious toxic ingestion. Treatment includes the aggressive administration of sodium bicarbonate and a low threshold to initiate ILE or ECMO.
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Toxicology

Early Aggressive Whole Bowel Irrigation to Prevent Severe Lithium Toxicity After Acute Overdose

6/10/2019 Omid Manoochehri, MD , Alex Manini, MD , Josh Wang, MD , Larissa Laskowski, DO , Jeremy Rose, MD
Hemodialysis is the definitive modality of lithium clearance in severe toxicity. In early overdose, however, whole bowel irrigation may prevent lithium absorption and subsequent toxicity if mental sta
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Toxicology

Don't Get Burned by Hydrofluoric Acid Toxicity

6/10/2019 Nancy A. Rice, MD, MS , Spencer Greene, MD, MS, FACEP, FACMT
Hydrofluoric acid is found in a variety of products and used in multiple industries, so exposure, while not exceedingly common, is not rare. Know how to treat HF toxicity and prevent contamination amo
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Toxicology

Kratom: A Blurb on the Herb

6/10/2019 Kyle Suen, MD , William Eggleston, PharmD, DABAT
As kratom becomes more ubiquitous in the United States, a growing body of literature calls into question the safety of this herbal supplement.
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Toxicology , Toxins

Wilderness Toxins: Can You Identify the Poison?

4/8/2019 Geoff Comp, DO, FAWM , Charles Duke, MD, PhD , Heath A. Jolliff, DO, FACMT, FAAEM, FACEP
The prompt identification of a potential environmental toxin allows for early treatment and management. Specific identification as well as recognition of pertinent signs and symptoms are important ski