ALiEM

NOVEMBER 29, 2023

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]. Published May 2023.

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Naloxone Overdose Epinephrine ALS 169

The Skeptics' Guide to EM

AUGUST 18, 2018

Prospective Validation of Clinical Criteria to Identify Emergency Department 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. [display_podcast] Date: August 16th, 2018 Reference: Hohl C et al. AEM Aug 2018. AEM Aug 2018.

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Emergency Department Overdose ED ALS 130

REBEL EM

JULY 17, 2023

Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of an induction agent and a neuroblocking agent in quick succession. REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED? Click here for Direct Download of the Podcast Paper: Knack SKS et al. Range 5 to 9) Diff -0.2;

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ED ICU Emergency Department Overdose 98

Pediatric EM Morsels

OCTOBER 27, 2023

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. Int J Emerg Med. Use of the Broselow tape in a Mexican emergency department.

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E-9-1-1 Emergency Medical Services Life Support ALS 271

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. Patients with opiate overdose get naloxone. Future articles will highlight solutions and success stories.

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Emergency Department ED Naloxone ALS 52

Don't Forget the Bubbles

SEPTEMBER 6, 2023

14-year-old Katy presents to the paediatric Emergency Department (ED), alone, complaining of suicidal ideation. Mental health-related ED visits for children and young people are common and have been on the rise during the last decade. What is the problem? Which children should we be requesting laboratory testing for?

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Emergency Department ED ALS Overdose 119

EMDocs

JANUARY 4, 2024

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.

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Overdose E-9-1-1 ALS Emergency Department 92

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s. What are the treatment options for a benzonatate overdose?

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E-9-1-1 Overdose Emergency Medical Services Life Support 89

EMDocs

JUNE 2, 2023

The fourth episode in this series will shift gears and talk about safely transporting children to the ED via prehospital services. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry.

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Emergency Department Emergency Medical Services Overdose ED 93

EMDocs

FEBRUARY 15, 2024

8 However, it is not considered first line in treatment of anticholinergic toxicity and is not available in all emergency departments. His vitals also improve, and he is subsequently discharged from the ED. Goldfrank’s Toxicologic Emergencies, 11e. Goldfrank’s Toxicologic Emergencies, 11e.

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ACEP Now

JANUARY 5, 2025

The PREOXI trial compared oxygen mask pre-oxygenation versus noninvasive positive-pressure ventilation (NIPPV) in patients requiring intubation in emergency departments (EDs) and intensive care units. 2 This was not an ED trial but was performed in stable patients on the inpatient wards.

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ALS E-9-1-1 ED Emergency Department 40

EMDocs

SEPTEMBER 7, 2023

Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur. 2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. Metabolism of DEG adapted from Bessenhofer, et al.

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E-9-1-1 ALS Emergency Department Plasma 92

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Am J Emerg Med. It is unclear how long he was down.

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Defibrillator CPR Epinephrine Life Support 109

ACEP Now

MAY 8, 2023

1,2 With such enormous popularity it is no surprise that each year there are 56,000 emergency department (ED) visits, 2,600 hospitalizations, and 500 deaths in the U.S. In the massive overdose, it involves the additional consideration of 4-methylpyrazole (Fomepizole) and dialysis. take acetaminophen on a weekly basis.

Overdose 52

Overdose ALS OR EMS 52

EMDocs

JULY 30, 2024

On arrival to the ED, the patient was agitated, disoriented, tachycardic, and his blood glucose was > 600 mg/dL. 3 When administered early after overdose, nicotinamide may decrease the severity of toxicity. In: Krieger R, ed. The father reported the patient was in his usual state of health approximately two hours ago.

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Overdose ED Emergency Department OR 74

Dr. Smith's ECG Blog

OCTOBER 25, 2023

A man in his 60s with a history of severe alcohol use disorder and epidural abscess on long-term ciprofloxacin presented to the emergency department after an episode of syncope while standing in line at a grocery store. Written by Sean Trostel MD, peer reviewed by Meyers, Smith, Grauer, etc. He did not have chest pain. Is it STEMI?

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Overdose ACS OR ICU 124

Pediatric EM Morsels

SEPTEMBER 1, 2023

As previously mentioned by Dr. Richardson , adolescents use the Emergency Department as their Primary Care resource often. Here is a streamlined version that we can apply easily in the ED: Home : Safe at home? Adolescent patients often rely on us in the ED as the source of their primary care. Who lives in the home?

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ED Emergency Department Overdose ALS 164

EMDocs

DECEMBER 16, 2023

The patient is agitated, not oriented, and becoming combative with ED staff. An 18-month-old boy presents to the emergency department with loss of consciousness. Triage vital signs include BP 80/40 mm Hg, HR 154 bpm, T 41C rectal, RR 28 breaths per minute, saturation 94% on room air. Temps greater than 41.5C

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EMS Heatstroke Emergency Department First Aid 94

The Skeptics' Guide to EM

DECEMBER 28, 2024

Emergency department 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. Date: December 26, 2024 Reference: Steinhauser S et al.

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Emergency Department Overdose ED ALS 226

EMDocs

JANUARY 22, 2025

In the ED, he develops recurrent respiratory depression and hypoxia to 80%. Is there an ideal observation period in the emergency department after reversal with naloxone? Background: Fentanyl has contributed to a significant increase in drug overdose deaths in recent years. How long should they stay in the ED?

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Naloxone E-9-1-1 Overdose NARCAN 96

ACEP Now

FEBRUARY 11, 2025

A 33-year-old male with a history of drug use presented to the emergency department (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. Todd DA, Kellogg JJ, Wallace ED, et al.

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89

Dr. Smith's ECG Blog

DECEMBER 31, 2024

She presented to the Emergency Department at around 3.5 Patients with complete left main occlusion usually die before arrival in the ED. Written by Pendell Meyers A woman in her 70s with known prior coronary artery disease experienced acute chest pain and shortness of breath. Vital signs were within normal limits.

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Coronary ACS STEMI CAD 119

EMDocs

DECEMBER 6, 2024

On arrival to the ED the patient’s initial vital signs are temperature 38.5C, BP 102/48, HR 106, RR 20. Historically, iron toxicity and exposure affected children in unintentional overdose disproportionately. Goldfrank’s Toxicologic Emergencies, 11e. Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e.

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E-9-1-1 Frozen Plasma Plasma Overdose 98

Peter Canning

JANUARY 26, 2025

Robby), the senior attending in a busy Pittsburgh emergency department, who goes from patient to patient, emergency to emergency, overseeing a cast of younger doctors, nurses and other medical staff. The shows’ focus is inside the ED and the staff who make it run. Wylie now portrays Dr. Rabinavitch (Dr.

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NARCAN Overdose EMT EMT 52