Chemical Warfare Agents
Today, chemical warfare agents (CWAs) may pose a greater hazard to civilians than soldiers. The threat of chemical warfare is hardly novel. Traditionally used by armies to bre
Tripping off Trumpets: Diagnosis and Management of Jimson Weed Toxicity
A 16-year-old male is brought to the emergency department for confusion and hallucinations for the past hour. Two hours prior t
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
Don't Kid Around: SGLT-2 Inhibitors and the Risk for Euglycemic DKA
A 62-year-old female presents with cough and generalized weakness for one day. She has no other symptoms and physical exam is unrem
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
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
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