This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Questions: What are the symptoms of second-generation antipsychotic overdose? How is second-generation antipsychotic overdose diagnosed? What is the treatment for patients who have overdosed on second-generation antipsychotics? 4 The specific incidence of second-generation antipsychotic drug overdose is unknown, however, 4.7%
Date: June 16, 2023 Reference: Reed et al. Pilot Testing Fentanyl Test Strip Distribution in an EmergencyDepartment Setting: Experiences, Lessons Learned, and Suggestions from Staff. She is the cofounder of […] The post SGEM#407: Here We Go Test Strips for Fentanyl first appeared on The Skeptics Guide to Emergency Medicine.
Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergencydepartment: A randomized controlled trial. A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3].
Date: August 23rd, 2022 Reference: Schoenfeld et al. AEM August 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: August 23rd, 2022 Reference: Schoenfeld et al. Reference: Schoenfeld et al.
[display_podcast] Date: May 19th, 2017 Reference: Willman et al. Do heroin overdose patients require observation after receiving naloxone? Guest Skeptic: Dr. Richard Hamilton (@RJHamiltonMD) is Chair of the Department of Emergency Medicine at Drexel University College of Medicine. Clinical Toxicology 2017.
Date: January 17th , 2019 Reference: Clemency et al. Date: January 17th , 2019 Reference: Clemency et al. The EMS crew observes drug paraphernalia and suspect an intravenous (IV) opioid overdose. He is alert and oriented times three with normal vital signs by the time he arrives in the emergencydepartment.
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]. MMWR Morb Mortal Wkly Rep.
After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to toxicology in the EmergencyDepartment. Reference Lin M, Phipps M, Chan TM, et al.
Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. 2010) ‘140: Does physician estimates of pediatric patient weights lead to inaccurate medication dosages’, Annals of Emergency Medicine , 56(3), p. Academic Emergency Medicine, 14: 500-501. Ann Emerg Med.
CASE A 30-year-old woman presents to the emergencydepartment with left arm pain from a chronic wound. Xylazine is a veterinary sedative that has been increasingly implicated in overdose deaths throughout the United States. percent of all overdose deaths in 2020. References Friedman J, et al. Alexander RS, et al.
Emergencydepartments (EDs) focus on rapid initiation of medical treatment. Patients with opiate overdose get naloxone. References American College of Emergency Physicians Clinical Policies Subcommittee on the Adult Psychiatric P, Nazarian DJ, Broder JS, et al. Ann Emerg Med. West J Emerg Med.
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). PMID 33392580. Characteristics: Mean age 35.5 Homeless: 32.6%
She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergencydepartment (ED). What are the treatment options for a benzonatate overdose? Management: The mainstay of treatment of benzonatate overdose is supportive and symptomatic care.
The PREOXI trial compared oxygen mask pre-oxygenation versus noninvasive positive-pressure ventilation (NIPPV) in patients requiring intubation in emergencydepartments (EDs) and intensive care units. He is the Annals of Emergency Medicine podcast co-host and Journal Club editor. References Gibbs KW, Semler MW, Driver BE, et al.
Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur. Metabolism of DEG adapted from Bessenhofer, et al. 2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergencydepartment.
Background: Standard rapid sequence intubation (RSI) in the emergencydepartment involves administration of an induction agent and a neuroblocking agent in quick succession. Click here for Direct Download of the Podcast Paper: Knack SKS et al. References: Knack SKS et al. Range 5 to 9) Etomidate: 7.0 95% CI -1.4
Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergencydepartment (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Carsten L, et al. Monika BM, Martin D, Balthasar E, et al.
1,2 With such enormous popularity it is no surprise that each year there are 56,000 emergencydepartment (ED) visits, 2,600 hospitalizations, and 500 deaths in the U.S. 1,2 With such enormous popularity it is no surprise that each year there are 56,000 emergencydepartment (ED) visits, 2,600 hospitalizations, and 500 deaths in the U.S.
doi:10.1016/0002-9343(89)90302-1 Guglielminotti J, Pascal Pernet, Maury É, et al. Negative anion gap and elevated osmolar gap due to lithium overdose. 061057 Wu AHB, McKay C, Broussard LA, et al. doi:10.1373/49.3.357 The post ToxCard: Osmol Gap – Part 2 appeared first on emDOCs.net - Emergency Medicine Education.
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.,
3 When administered early after overdose, nicotinamide may decrease the severity of toxicity. doi: 10.1056/NEJM198001103020202 Buonvicino D, Mazzola F, Zamporlini F, et al. The father reported the patient was in his usual state of health approximately two hours ago. Empiric treatment is recommended given low toxicity of nicotinamide.
Questions: What are the clinical manifestations of bupropion overdose? How is bupropion overdose treated? How long should a patient be observed after a bupropion overdose? 1 In addition to intentional overdoses, there are multiple case studies of abuse (ingestion, insufflation, injection). hours, SR 3 hours, XL 5 hours.
14-year-old Katy presents to the paediatric EmergencyDepartment (ED), alone, complaining of suicidal ideation. A 2023 Quality Improvement (QI) project involved the introduction of a medical clearance algorithm for children presenting with psychiatric emergencies. Acad Emerg Med. Ann Emerg Med. Ann Gen Psychiatry.
[display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. Prospective Validation of Clinical Criteria to Identify EmergencyDepartment Patients at High Risk for Adverse Drug Events. Guest Skeptic: Dr. Chris Bond is an emergency physician and clinical lecturer at the University of Calgary. Reference: Hohl C et al.
One such vital aspect of pediatric emergency medicine is the appreciation of how psychosocial history impacts a patient’s life and care. As previously mentioned by Dr. Richardson , adolescents use the EmergencyDepartment as their Primary Care resource often. Cappelli M, Gray C, Zemek R, et al. Pediatrics.
REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. The fragility index of these findings found to be 1 for VC and 9 for DED Obtaining a second defibrillator in the emergencydepartment or intensive care unit can be very easy to do.
Date: December 26, 2024 Reference: Steinhauser S et al. Emergencydepartment staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. She is anAssistant Professor and Director of Research in theDepartment of Emergency Medicine at the NYU Grossman Long Island Hospital Campus.
The pain worsened today, prompting him to come to the emergencydepartment for evaluation. Necrotizing fasciitis Case Question: Will naloxone reverse a xylazine overdose? Thus, Narcan is reasonable to administer in the setting of a suspected overdose since the patients presentation can be due to combined use.
Is there an ideal observation period in the emergencydepartment after reversal with naloxone? Background: Fentanyl has contributed to a significant increase in drug overdose deaths in recent years. Data suggest that the first month and in particular the first 48 hours after overdose carry a significant risk of death.
A 33-year-old male with a history of drug use presented to the emergencydepartment (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. He was admitted for a suspected kratom overdose and acute kratom withdrawal. Gummin DD, Mowry JB, Beuhler MC, et al. 2022;23(1):4-9.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content