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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.
decrease in overdoses in Connecticut since November 2021 based on rolling 12-month averages with the latest 12-month period ending June 2024. After the presentation I saw in the chat a comment about white overdoses being down, but minority overdoses still rising. Black opioid overdose deaths declined 9.1%
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.
AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. AEM April 2024 Date: April 19, 2024 Guest Skeptic: Dr. Suchismita Datta. AEM April 2024 * Population: Adult patients with confirmed rib fractures and a numeric rating score (NRS) greater than 4, despite routine analgesia.
St.Emlyn's - Emergency Medicine #FOAMed Our regular podcast round up with @docib and @emmanchester of the best of the blog from January 2024. This month we focus on habits, the management of the comatose overdose patient and retention/recruitment issues in UK emergency medicine. appeared first on St.Emlyn's.
After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). One of the biggest findings in the 2024 ESO EMS Index regarding bystander CPR rates is that they vary by background. Want to learn more?
2024 Ancient Order of St. Chief Dittmans responsibilities expanded when the Human resources, Finance and administrative sections were placed under the Internal Affairs Division in 2024. Additional 2024 Inductees include: Bob & Charlotte Dean (2024) Carol Stolp (2024) Mary Kirchofer (2024) WoodmenLife (2024) Cpl.
Drug overdose deaths are down 3.1% 107,543 people died of drug overdoses in 2023 down from 111,029 in 2022. Here in Connecticut, drug overdose deaths have been decreasing for the last two years (down 14% in 2023 from the 2021 high). Ten years ago when I responded to an overdose, I was the only one carrying naloxone.
From April 2-5, the top fire services and EMS industry thought leaders and data analysts gathered at Wave 2024 to share what trends they’re forecasting for both fields and how they’re enacting change within their own organizations through the power of data-driven insights. Data impacts every aspect of duties, from shifts start to end.
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. 2024:e2415815. published online ahead of print October 31, 2024]. published online ahead of October 31, 2024]. Knack SKS, Scott N, Driver BE, et al. Ann Emerg Med. N Engl J Med.
Unlike other methods, such as firearms, hangings, intentional overdoses, and cutting, chemical suicides tend to linger in the area where the act was committed. 2024, 09 17). These methods can provide severe risk to responders even after the victim has succumbed to his or her inflicted injuries. Retrieved from [link] Stang, D.
or is he an ACCESS Trial Candidate? == MY Comment , by K EN G RAUER, MD ( 7/5 /2024 ): == Clinical ECG interpretation is a 2-Step process. See these related cases: Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Cardiac arrest #3: ST depression, Is it STEMI?
overdose deaths plummet, saving thousands of lives, blared the headline from NPR yesterday. For the 12-month period April 2023 to April 2024, deaths fell nationally for the first time, declining by 10%. Ten years ago when I responded to an overdose, I was the only one carrying naloxone. We know what works!
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. Accessed January 22, 2024. Physostigmine does not reverse seizures or dysrhythmias. 9 Physostigmine dosing: 0.5-2
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. Accessed 28 July 2024. Accessed August 8, 2024. Accessed August 8, 2024. Accessed August 8, 2024. Hopkins, Erin, et al.
” The Drug Enforcement Administration in their 2024 Drug Threat Assessment (May 2024) provided this official analysis: The ban is probably a public relations stunt, however, or an attempt by the cartels to consolidate production among a smaller number of trusted manufacturers and punish others.
CDC: May 14, 2024 Drug Overdose Death Rates. LoVecchio, Frank, et al. “Poison control centers decrease emergency healthcare utilization costs.” ” Journal of medical toxicology 4 (2008): 221-224. Press, Edward, and Robert B. “A poisoning control program.”
CDC: May 14, 2024 Drug Overdose Death Rates. LoVecchio, Frank, et al. “Poison control centers decrease emergency healthcare utilization costs.” ” Journal of medical toxicology 4 (2008): 221-224. Press, Edward, and Robert B. “A poisoning control program.”
These are also the most commonly reported findings in toxic overdoses with ventricular arrhythmias being reported as the leading cause of death. In a case like today’s all contraindications are relative if the drug you are giving is effective as the underlying entity you are treating is deadly if not controlled.
There have been documented cases of overdose, and of note, there is no known antidote. Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Accessed January 11, 2024. Diabetes Care. 2018;41:258–66. CNN website. Published December 18, 2023. Mercer S.
Date: December 26, 2024 Reference: Steinhauser S et al. AEM December 2024 Guest Skeptic:Dr. Emergency departments (EDs) are often the first point of contact for patients experiencing opioid-related crises, ranging from overdose to withdrawal. Suchismita Datta. Reference: Steinhauser S et al.
Fatal Overdoses continue to show a decline both nationally (27.5% from our rolling 12-month high of November 2021), according to just released data from the CDC which reflects their data through the end of October 2024. Based on Data through October 2024. from the June 2023 rolling 12-month high) and here in Connecticut (32.7%
The latest CDC data released today show US overdose deaths are down 16.74% from the rolling 12-month high of 111,802 in August of 2023 to June 2024 count of 93,087(the latest provisional data available). We will win this war. Harm reduction workers in Hartford Connecticut, making Naloxone kits.
Connecticut reached its 12-month rolling fatal overdose peak in November 2021. As of June 2024, overdoses are down 24.2%. This data comes from the CDC Vital Statistics web page that tracks overdoses in all 50 states and the District of Columbia. As of June 2024, that number stands at 93,087, a decline of 16.8%.
Final 2024 numbers are out from the Connecticut Office of the Medical Examiner and they show an even greater decline in fatal overdoses in 2024 than anticipated. For the first time since 2016, the state saw fewer than 1000 deaths. Congratulations all who have been working so hard to bring these deaths down.
A report, Detection of Illegally Manufactured Fentanyls and Carfentanil in Drug Overdose Deaths United States, 20212024 , published on December 5, 2024 in the CDCs Morbidity and Mortality Weekly Report (MMWR) warns of increasing drugs deaths caused by carfentanil. The MMWR reports characterizes the carfentanil deaths as rare.
See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion. == MY Comment , by K EN G RAUER, MD ( 12/30 /2024 ): == Assessment of today's case should be quick and to the point. This ECG is taken from the July 25, 2024 post in Dr. Smith's ECG Blog. hours duration.
The latest CDC provisional 12-month rolling numbers (through August 2024) are out for fatal overdoses and the news continues to be promising. The US reported overdose fatal numbers are down 23.2 % from the August 2023 high. * In Connecticut reported overdoses are down 29.9% Impressive.
He was admitted for a suspected kratom overdose and acute kratom withdrawal. 7 Most of the difficulty in identifying patients who have overdosed or are in acute withdrawal from kratom comes from the inability to test for it in commercial assays of blood or urine. link] Accessed December 4, 2024. He was discharged the next day.
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