Core EM

JULY 23, 2024

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

Plasma Emergency Department Overdose OR 130

Core EM

JANUARY 24, 2024

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

Plasma Emergency Department Overdose OR 130

EMDocs

SEPTEMBER 7, 2023

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

E-9-1-1 ALS Plasma Emergency Department 87

EMDocs

JANUARY 22, 2025

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.

Naloxone 93

Naloxone E-9-1-1 Overdose NARCAN 93

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

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89

EMDocs

DECEMBER 6, 2024

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

E-9-1-1 Frozen Plasma Plasma Overdose 96