ESO
DECEMBER 18, 2024
In 2023, EMS clinicians responded to 236,000 calls for suspected opioid overdoses, representing nearly 2% of all EMS calls nationwide. A pproximately 65% of these p atients were male , with 63% documented as White non-Hispanic followed by 24% as Black or African American and non-Hispanic.
EMDocs
JUNE 2, 2023
Document what you gave and why, as well as the impact. 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 Let’s look at management based on etiology: As always follow local procedures and recommendations. More importantly, try non-pharmacologic means first – I cannot stress that enough.
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ACEP Now
FEBRUARY 11, 2024
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. Semaglutide has a half-life of approximately one week; as such, it is long-acting and requires supportive measures.
ACEP Now
JULY 7, 2023
Patients with opiate overdose get naloxone. Mental health evaluation teams can rely on documentation and interviews to understand a patient’s initial agitation level. This month, we are discussing the medical management of patients with mild to moderate agitation. Patients with sepsis get antibiotics. Patients in DKA get insulin.
Dr. Smith's ECG Blog
JUNE 20, 2018
The medicine note documents that the patient had worsening pain with lying flat and relief with leaning forward. I n the intervening 3 hours, new Q-waves have developed in leads V3 and V4, and deepened in V5 and V6. The patient was admitted to medicine service for pericarditis where she had intermittent pain throughout the rest of the night.
Dr. Smith's ECG Blog
APRIL 15, 2020
As always — it’s nice when we have “the Answer” , here in the form of an EP study documenting the absence of any SVT — with confirmation that the rhythm is VT.
Dr. Smith's ECG Blog
NOVEMBER 30, 2019
This is pathognomonic of hyperkalemia (I suppose it could be due to a massive overdose of a sodium channel blocking drug, maybe). Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." She was in shock with thready pulses. If cardiac arrest from hypokalemia is imminent (i.e.,
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