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The Intervals Aren’t Alright!

Core EM

The Case An elderly male with a past medical history of hypertension and diabetes presents to the emergency department with a chief complaint of diarrhea and shortness of breath. The patient was admitted to the medical intensive care unit and emergent underwent dialysis. F, and FSG 120. He had no history of kidney disease.

Plasma 130
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The Intervals Aren’t Alright!

Core EM

The Case An elderly male with a past medical history of hypertension and diabetes presents to the emergency department with a chief complaint of diarrhea and shortness of breath. The patient was admitted to the medical intensive care unit and emergent underwent dialysis. F, and FSG 120. He had no history of kidney disease.

Plasma 130
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ToxCard: Diethylene Glycol

EMDocs

DEG is rapidly absorbed when ingested and can reach peak plasma and brain tissue concentrations within four hours of ingestion. 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.

E-9-1-1 87
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ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

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. Data suggest that the first month and in particular the first 48 hours after overdose carry a significant risk of death.

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Case Report: Acute Kratom Withdrawal

ACEP Now

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. A dexmedetomidine (Precedex) 400 mcg in 0.9 2022;23(1):4-9.

NARCAN 89
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ToxCard: Iron

EMDocs

Historically, iron toxicity and exposure affected children in unintentional overdose disproportionately. 1 The incidence of iron overdose and iron ingestion related deaths has significantly decreased over time, likely attributable to federal regulation. 2 L/hr in adults. 1 Deferoxamine is safe in children. mg of elemental iron.

E-9-1-1 96