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Updates in High dose Insulin and Euglycemia Therapy (HIET) for the treatment of Beta-adrenergic Receptor and Calcium Channel Antagonists Overdose

Core EM

Background: An update to our 2015 post on HIET for beta-adrenergic receptor and calcium channel antagonists overdose. Beta-adrenergic receptor antagonists (Beta blockers, BB) and calcium channel antagonists (calcium channel blockers) are common drugs that can produce profound cardiac depression and shock when taken in overdose.

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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Date: September 18, 2024 Reference: Dillon et al. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Naloxone is a well-established medication used primarily for reversing opioid overdoses. JAMA Network Open.

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SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

The Skeptics' Guide to EM

AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3]. These risks are particularly higher in the elderly [2].

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2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

As it turns out, common sense likely rules the day when presented with patients whose low GCS is the result of a self-limited overdose toxidrome. References Gibbs KW, Semler MW, Driver BE, et al. Luo Z, Li Y, Li W, et al. 2024:e2415815. Knack SKS, Scott N, Driver BE, et al. Escobar GJ, Liu VX, Schuler A, et al.

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Law and Order: Basic ABG Interpretation

FOAMfrat

There are many underlying causes, such as stroke, central nervous system depression (opioid overdose, etc.), 2024, www.ncbi.nlm.nih.gov/books/NBK536919/. Accessed 28 July 2024. Hopkins, Erin, et al. Accessed 28 July 2024. Accessed August 8, 2024. Accessed August 8, 2024. Accessed August 8, 2024.

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

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.

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Episode 149 Poison Control Part 2: Call me maybe

This Podcast Will Kill You

LoVecchio, Frank, et al. CDC: May 14, 2024 Drug Overdose Death Rates. Health care cost savings from Australian Poisons Information Centre advice for low risk exposure calls: SNAPSHOT 2. Clinical Toxicology , 58 (7), pp.752-757. “Poison control centers decrease emergency healthcare utilization costs.”