Pediatric EM Morsels

JUNE 16, 2023

Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Overdose 152

Overdose OR Critical Care ALS 152

FOAMfrat

JUNE 3, 2024

Right as you’re making your bunk you get dispatched for a reported overdose with police enroute, no further information. We go into it with preconceptions of what to expect: “It’s a simple heroin overdose, we’ll wake them up and they’ll refuse, then we’ll go back to bed”. Iolascon A, Andolfo I, Russo R, et al. Hemasphere.

Overdose 98

Overdose Ambulance First Responder ALS 98

EMDocs

AUGUST 3, 2023

Massive acetaminophen overdose: effect of hemodialysis on acetaminophen and acetylcysteine kinetics. Bebarta VS, Kao L, Froberg B, et al. A multicenter comparison of the safety of oral versus intravenous acetylcysteine for treatment of acetaminophen overdose [published correction appears in Clin Toxicol (Phila). PMID: 27118496.

Overdose 82

Overdose E-9-1-1 OR ED 82

EMDocs

JANUARY 17, 2024

What are the treatment options for a benzonatate overdose? 7) Overdose literature review timeline: In 1986, the first two benzonatate fatalities were reported in the literature: a choking infant and an intentional overdose in a teenager. (8) There is no specific toxidrome or antidote for a benzonatate overdose.

E-9-1-1 67

E-9-1-1 Overdose Emergency Medical Services Life Support 67

EMDocs

JANUARY 16, 2024

In our case, the patient had accidentally overdosed on drugs prior to being found. Carsten L, et al. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Monika BM, Martin D, Balthasar E, et al. Forti A, Brugnaro P, Rauch S, et al. Klein LR, Huelster J, Adil U, et al.

Defibrillator 85

Defibrillator CPR Epinephrine Life Support 85

NAEMSP

APRIL 19, 2023

Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., Calcium acts as a vasopressor and inotropic agent (Lindqwister, et al., risk ratio >1) was 4% for ROSC, 6% for 30 day survival, and 4% for survival with a favorable neurologic outcome at 30 days (Vallentin, et al.,

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52

Dr. Smith's ECG Blog

JULY 21, 2024

In such cases — radiofrequency ablation of ectopic beats triggering malignant ventricular arrhythmias was needed for control of arrhythmic storm because the antiarrhythmic medications tried were ineffective ( Marrouche et al — JACC 5;43(9): 1715-20, 2004 ). The most common side effects of Quinidine is hypotension and QTc prolongation.

Defibrillator 122

Defibrillator Coronary ALS STEMI 122

Dr. Smith's ECG Blog

MAY 5, 2023

Krantz et al authored a State-of-the-Art Review on Cardiovascular Complications of Opioid Use ( JACC 77(2):205-223, 2021 ) — in which mechanisms from Opioid Overdose that detail arrhythmia production ( up to cardiac arrest ) are elucidated — thereby providing an explanation for the unusual arrhythmias in today's case.

E-9-1-1 52

E-9-1-1 NARCAN Naloxone Overdose 52

Pediatric EM Morsels

SEPTEMBER 1, 2023

Sex 1/3 US high schoolers are having sex [ Youth Risk Behavior Survey 2021 ] Adolescents with higher levels of risky sexual behavior are more likely to report the ED as their usual source of care. In a teen who presents with vomiting and abdominal pain, is this “just” viral gastroenteritis, or could this be a Tylenol overdose ?

ED 161

ED Emergency Department Overdose ALS 161