EMergucate

AUGUST 4, 2021

A 60 year old male presents with an overdose. Below is the patients ECG: Describe and interpret the ECG What … Continue reading →

Overdose 130

Overdose 130

EMergucate

AUGUST 1, 2021

A 60 year old male presents with an overdose. Below is the patients ECG: Describe and interpret the ECG What … Continue reading →

Overdose 100

Overdose 100

ALiEM

NOVEMBER 29, 2023

Recently, xylazine has gained attention in the media with increasing reports of xylazine-related overdose deaths in patients. When combined with illicit opioids such as heroin and fentanyl, xylazine may increase the risk of fatal overdose given the augmented sedation and respiratory depression effects [2]. Published 2021 Sep 17.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

The Skeptics' Guide to EM

APRIL 20, 2024

The evidence was not robust enough back in 2021 to confidently use this potential tool. An attempt was made to externally validate this tool in New Zealand by Murkerji et al 2021 [4]. Background: We have covered rib fractures once before on the Skeptics’ Guide to Emergency Medicine.

Emergency Department 207

Emergency Department Overdose ALS ED 207

REBEL EM

SEPTEMBER 27, 2023

Mohan 2021 ) Recall that the subsequently alkalemia will shift potassium intracellular. Value of the QRS duration versus the serum drug level in predicting seizures and ventricular arrhythmias after an acute overdose of tricyclic antidepressants. A Case of Massive Diphenhydramine and Naproxen Overdose. 2021 Sep;61(3):259-264.

E-9-1-1 105

E-9-1-1 Overdose EMS 105

Peter Canning

SEPTEMBER 19, 2024

overdose deaths plummet, saving thousands of lives, blared the headline from NPR yesterday. Here in Connecticut, we witnessed a decline beginning in November 2021. Ten years ago when I responded to an overdose, I was the only one carrying naloxone. We know what works! Let’s double our efforts!

Naloxone 52

Naloxone Overdose First Responder OR 52

Clinical Correlations

APRIL 2, 2024

Jackson Peer Reviewed During the COVID-19 pandemic, opioid overdose deaths increased from 50,000 in 2019 to 80,000 in 2021, largely driven by synthetic opioids such as fentanyl.1 By Sarah M. 1 Despite the escalating use of synthetic.

Overdose 52

Overdose 52

REBEL EM

JUNE 5, 2023

Background Information: Opioid overdose deaths have been increasing in the past twenty years. The national number of overdose deaths from any opioid has increased 62.5% In addition, buprenorphine has a lower risk of death from overdose when compared to methadone (2). Characteristics: Mean age 35.5 Homeless: 32.6%

Naloxone 98

Naloxone ED Overdose Emergency Department 98

ACEP Now

JULY 7, 2023

Xylazine is a veterinary sedative that has been increasingly implicated in overdose deaths throughout the United States. Since 2020 to 2021, the Drug Enforcement Administration has reported a sharp rise in xylazine use across the U.S., percent of all overdose deaths in 2020. 4-6 Skin necrosis due to patient using xylazine.

Overdose 98

Overdose ALS Naloxone Emergency Department 98

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”. 2021 Dec;5(12):e660. References: Castiglione, M.

Overdose 98

Overdose Ambulance First Responder ALS 98

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

AUGUST 3, 2023

Massive acetaminophen overdose: effect of hemodialysis on acetaminophen and acetylcysteine kinetics. A multicenter comparison of the safety of oral versus intravenous acetylcysteine for treatment of acetaminophen overdose [published correction appears in Clin Toxicol (Phila). Adverse reactions to acetylcysteine and effects of overdose.

Overdose 82

Overdose E-9-1-1 OR ED 82

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. 2021) Morel-Lavallee lesion , Orthobullets. PMID: 30190632; PMCID: PMC6126206. Arch Gen Med.

Overdose 152

Overdose OR Critical Care ALS 152

NAEMSP

APRIL 19, 2023

Calcium is also frequently used in the treatment of hyperkalemia, calcium channel blocker overdose, hypermagnesemia, and hypocalcemia and may be more likely to be used when one of these diagnoses is the suspected cause of cardiac arrest. 2021), and AHA guidelines also maintain this use (Panchal, et al., References: 1. Ramazan, K.,

E-9-1-1 52

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

EMDocs

FEBRUARY 15, 2024

7,10 Contraindications include asthma, chronic obstructive pulmonary disease (COPD), genitourinary or gastrointestinal obstruction, or if there is suspected or confirmed tricyclic antidepressant (TCA) overdose. 2021 Aug;59(8):698-704. Physostigmine does not reverse seizures or dysrhythmias. 9 Physostigmine dosing: 0.5-2

E-9-1-1 89

E-9-1-1 Overdose ED OR 89

Handtevy

AUGUST 15, 2022

Sodium bicarbonate is indicated for select patients including preexisting metabolic acidosis, hyperkalemia, or tricyclic antidepressant overdose. Children ≤ 18 years old and ≥ 37 weeks post conceptual age who received chest compressions from October 2016 to March 2021. 1.34; p = 0.621).

CPR 52

CPR ICU Overdose Critical Care 52

EMDocs

JANUARY 16, 2024

In our case, the patient had accidentally overdosed on drugs prior to being found. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Accidental Hypothermia: 2021 Update. 17 It is crucial to figure out why the patient is hypothermic and reverse the underlying cause if possible. N Engl J Med.

Defibrillator 84

Defibrillator CPR Epinephrine Life Support 84

EMDocs

JUNE 2, 2023

doi: 10.1136/bmjopen-2021-059876. mg/kg/dose (PO/IM/IV) Midazolam – 0.25-0.5 mg/kg/dose PO; 0.2-0.3 mg/kg IN; 0.1-0.15 Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practice. 2022 May 11;12(5):e059876. PMID: 35545394; PMCID: PMC9096567.

Emergency Department 66

Emergency Department Emergency Medical Services Overdose ED 66

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

AAEM RSA

MARCH 4, 2021

Image credit: Pexels Author: Jennifer Gemmill, MD FAAEM Originally published: Common Sense January/February 2021 I am a terrible patient. I frantically resuscitated a man with hypotension and bradycardia for multiple hours with no effect, only to discover later that he had intentionally overdosed on his blood pressure meds.

Overdose 52

Overdose OR ED EMS 52

Dr. Smith's ECG Blog

JULY 21, 2024

These are also the most commonly reported findings in toxic overdoses with ventricular arrhythmias being reported as the leading cause of death. The decision was made to try Quinidine ( as this case was felt to represent conditions consistent with Quinidine-responsive PMVT ). Numbers given are based mostly on case reposts.

Defibrillator 113

Defibrillator Coronary ALS STEMI 113

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

EMDocs

DECEMBER 16, 2023

Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C C., & Mathai, D. Predictors of multi-organ dysfunction in heatstroke. Emergency medicine journal : EMJ , 22 (3), 185–187. link] Jang, S. H., & Seo, Y. Medicine , 100 (13), e24053. Autonomic Dysfunction.

EMS 68

EMS Heatstroke Emergency Department First Aid 68

AAEM RSA

APRIL 18, 2021

Sobrio, MD Originally published: Common Sense March/April 2021 Flashback to 2019. In 2018, drug overdose deaths dropped for the first time in 20 years. It is not surprising that tragedies such as overdoses, and suicides are up. Image credit: Pexels Author: Shane A. Hong Kong protests were raging on, the U.S.

Overdose 52

Overdose Naloxone OR 52