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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.
Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and CriticalCare. Reference Lin M, Phipps M, Chan TM, et al. Ann Emerg Med. 2023;82(1):55-65. doi: 10.1016/j.annemergmed.2023.02.011
Welcome back to the tasty morsels of criticalcare podcast. A meandering monologue through criticalcare fellowship exam preparation. Read More » Welcome back to the tasty morsels of criticalcare podcast. A meandering monologue through criticalcare fellowship exam preparation.
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.
Unlike other methods, such as firearms, hangings, intentional overdoses, and cutting, chemical suicides tend to linger in the area where the act was committed. CriticalCare Clinics, 39(2), 429-441. These methods can provide severe risk to responders even after the victim has succumbed to his or her inflicted injuries.
Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. Reduces dosing errors during resus, up to 33.88%. Recommended by ATLS and PALS.
This month we focus on habits, the management of the comatose overdose patient and retention/recruitment issues in UK emergency medicine. St.Emlyn's - Emergency Medicine #FOAMed Our regular podcast round up with @docib and @emmanchester of the best of the blog from January 2024. appeared first on St.Emlyn's.
Welcome back to the tasty morsels of criticalcare podcast. Read More » Welcome back to the tasty morsels of criticalcare podcast. In overdose it does indeed form part of the anion gap of unmeasured anions along with lactate. This time round we’ll look at an oldie but a goodie: salicylate poisoning.
This collection of posts features recently published must-know articles. Today we look at the CENSER trial. mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1%
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.
Simple intoxications like baclofen overdose can cause incredibly dense coma. . * Give thiamine indiscriminately and widely to patients with altered mental status; it is harmless and Wernicke-Korsakoff may fool you. Start with the history and meds. Inquire as to recent history of behavioral changes, neurologic phenomena, illness, etc.
Acute iron overdose can cause anion gap acidosis, GI symptoms including bleeding, and shock and an overal critically ill presentation. Correlate cautiously with the clinical picture (e.g. opioid toxicity may not explain encephalopathy in a patient with normal pupils and hyperventilation), or simply don’t send it to begin with.
Arterial blood gases (ABG) can be pretty intimidating, especially for providers who are new to criticalcare medicine. There are many underlying causes, such as stroke, central nervous system depression (opioid overdose, etc.), and muscular insufficiencies from conditions such as myasthenia gravis.
This EKG was recorded as part of a standing order for criticalcare. He had been smoking an opiate and suddenly collapsed. He was ventilated with BVM on arrival. He awoke with naloxone. He denied any CP or SOB. An EKG was repeated at 5 minutes The T-wave is less hyperacute. Maybe there is some spontaneous reperfusion?
Sodium bicarbonate is indicated for select patients including preexisting metabolic acidosis, hyperkalemia, or tricyclic antidepressant overdose. However, many providers are still administering it for cardiac arrests even though we know it makes matters worse.
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. Pediatric CriticalCare Medicine, 23 (11), 860-871. References: 1. Ramazan, K.,
Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/criticalcare pod of your emergency department (ED). In our case, the patient had accidentally overdosed on drugs prior to being found. Jessica Pelletier, DO (EM Attending Physician, Washington University in St.
Aligning Community Data for the Common Good by Michael Baker , MA, EFO, Fire Chief at Tulsa Fire Department and Justin Lemery , Director of EMS, Tulsa Fire Department discussed the far-reaching positive effects that reviewing data and creating community partnerships can have in overcoming homelessness, overdoses, and chronic illness.
We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from stimulant and other substance use.
Critical Care : the Official Journal of the CriticalCare Forum., 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 link] Bouchama, Dehbi, M., & Chaves-Carballo, E. Cooling and hemodynamic management in heatstroke: practical recommendations.
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. A dexmedetomidine (Precedex) 400 mcg in 0.9
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