ALiEM

FEBRUARY 5, 2024

Alex Rogers MD, J.D. Reference Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

Emergency Medicine Cases

MARCH 23, 2021

In this month's EM Quick Hits podcast: Justin Morgenstern on colchicine for COVID pneumonia, Victoria Myers on sodium bicarbonate in cardiac arrest, Brit Long on troponin in chronic kidney disease, Michelle Klaiman on GHB overdose, Ian Walker on iloprost for frostbite, Sarah Reid on tips on avoiding patient and parent complaints.

Overdose 130

Overdose EMS 130

The Skeptics' Guide to EM

JANUARY 19, 2019

Justin Morgenstern is an emergency physician and the creator of the excellent #FOAMed project called First10EM.com Case: A 33-year-old man arrives via emergency medical services (EMS) after initially being […] The post SGEM#241: Wake Me Up Before You Go, Go – Using the HOUR Rule first appeared on The Skeptics Guide to Emergency Medicine.

Naloxone 130

Naloxone Overdose Emergency Medical Services Emergency Department 130

The Skeptics' Guide to EM

MAY 21, 2017

Do heroin overdose patients require observation after receiving naloxone? Do heroin overdose patients require observation after receiving naloxone? Case: A 45-year-old male arrives via emergency medical services (EMS) complaining that he wants to be discharged. The second new recommendation was about opioid overdose treatment.

Naloxone 130

Naloxone Overdose First Responder BLS 130

Peter Canning

JANUARY 20, 2024

mg of Naloxone X 2, and now the ETCO2 drops to 45, the SAT soon comes up to 99 and the patient opens her eyes and lifts her head, surprised to find herself surrounded by EMS and Fire. I have called the time on a number of her neighbors in this building, some of them victims of overdose. of all overdoses to 11.1%. per 100,000.

Overdose 59

Overdose Naloxone Firefighter First Responder 59

Emergency Medicine Cases

JANUARY 3, 2017

The year 2016 was one of the most productive one in the entire 7 year history of EM Cases with a total of 29 podcast releases, the introduction of the CritCases blog, the Q & A Pearl of the Week, Just The Nuggets emails, BEEM Cases, the expansion of the Waiting to Be Seen blog, the second EM Cases Digest ebook and the first ever EM Cases Course.

EMS 130

EMS Overdose 130

Emergency Medicine Cases

JANUARY 1, 2018

Based on a blend of the number of podcast downloads, webpage views, social media engagement, number of positive emails and comments that I received, and my own favs, I'm pleased to bring you the EM Cases Best of 2017 Top 10. The post EM Cases Best of 2017 Top 10 appeared first on Emergency Medicine Cases. And here they are.

EMS 130

EMS Overdose 130

University of Maryland Department of Emergency Med

OCTOBER 4, 2023

BACKGROUND: Emergency Medical Services (EMS) systems, especially those within urban jurisdictions, struggle to effectively meet the need. Click to view the rest

Overdose 62

Overdose EMS Emergency Medical Services 62

REBEL EM

OCTOBER 16, 2024

Take Home Points Orogastric lavage may still play an important role in treatment of the overdose patient. Strongly consider orogastric lavage in a patient who has taken an overdose of drugs that are particularly toxic, suspected extreme doses associated with high morbidity/mortality and do not have easily available and effective antidotes.

Overdose 102

Overdose EMS OR 102

Emergency Medicine Cases

APRIL 20, 2021

In Part 1 of our 2-part series on bradycardia and bradydysrhythmias we discussed a practical approach with electrophysiologist Paul Dorian and EM doc Tarlan Hedayati. AV nodal blocker overdose? In this, part 2, we discuss details of treatment. How is the treatment of bradycardia different in the patient with hypothermia? Myxedema coma?

Overdose 130

Overdose EMS Epinephrine 130

Peter Canning

NOVEMBER 27, 2024

I was giving a data presentation to the statewide Harm Reduction Advocacy Group and after reviewing the EMS data I had, I touched on the latest CDC numbers that show a 24.1% decrease in overdoses in Connecticut since November 2021 based on rolling 12-month averages with the latest 12-month period ending June 2024.

Overdose 52

Overdose EMS 52

Emergency Medicine Cases

MARCH 14, 2023

Dr. Emily Austin and Dr. Margaret Thompson answer questions such as: how is massive acetaminophen overdose a totally different toxidrome compared to non-massive overdose? In this main episode podcast we explore a dozen pitfalls in the assessment and management of acetaminophen poisoning.

Overdose 130

Overdose EMS 130

Emergency Medicine Cases

OCTOBER 9, 2018

In anticipation of EM Cases Episode 116 on Opioid Misuse, Overdose and Withdrawal, Dr. Michelle Klaiman, Addictions and Emergency Medicine specialist, tells her Best Case Ever exemplifying how we can positively impact the lives of ED patients for years to come - even when they present with simple, run-of-the-mill diagnoses - by thinking outside the (..)

Overdose 130

Overdose ED EMS Naloxone 130

Peter Canning

MARCH 5, 2024

Connecticut opioid-related deaths declined for the second year in a row, down 14% from their 2021 high of 1431 opioid deaths, according to the latest statistics from the Connecticut Office of the Medical Examiner (OCME). Opioid deaths represented 92% of all overdose deaths in Connecticut.

Overdose 52

Overdose Naloxone EMS OR 52

ESO

APRIL 19, 2024

From April 2-5, the top fire services and EMS industry thought leaders and data analysts gathered at Wave 2024 to share what trends they’re forecasting for both fields and how they’re enacting change within their own organizations through the power of data-driven insights. Data impacts every aspect of duties, from shifts start to end.

MIH 105

MIH EMS Paramedic Firefighter 105

Peter Canning

SEPTEMBER 10, 2024

Across the nation states are passing initiatives to allow EMS services to leave naloxone kits on scene with at risk patients, their family, friends or bystanders. A recent paper published in JAMA Open Network states overdose deaths can be reduced by 37% by combining naloxone distribution with efforts to get people to stop using alone.

Naloxone 52

Naloxone EMS Overdose Emergency Medical Services 52

International Journal of Paramedicine

JULY 8, 2024

Emergency Medical Services (EMS) play a crucial role in responding to opioid overdoses. The pre-hospital use of buprenorphine by EMS can expand access to this important medication. Conclusions: The pre-hospital administration of buprenorphine for opioid use disorder should be considered by EMS agencies.

Emergency Medical Services 94

Emergency Medical Services Overdose EMS 94

EMergucate

JULY 3, 2016

A 44 year old man presents to your ED after taking an overdose of paracetamol about 12 hours ago. His paracetamol nomogram is as follows:

Overdose 130

Overdose ED EMS 130

EMergucate

DECEMBER 20, 2022

This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit.

Overdose 130

Overdose EMS 130

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%. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. link] The post The Broselow-Luten System appeared first on Pediatric EM Morsels. and Seaver, M.

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

Emergency Medicine Cases

JANUARY 3, 2017

One of the things we need to think about whenever we see a patient who’s going low and slow with hypotension and bradycardia is an overdose. And inevitably we’re gonna be faced with both intentional and unintentional overdoses from these drugs in the ED.

Overdose 100

Overdose ED EMS 100

EMergucate

APRIL 5, 2017

A 37 year old man presents after a multidrug overdose, 20 hours post ingestion. His Paracetamol level at 20 hours … Continue reading →

Overdose 100

Overdose EMS 100

EMergucate

JULY 6, 2016

A 44 year old man presents 12 hours following a Paracetamol overdose The Paracetamol Nomogram on its own is not validated for … Continue reading →

Overdose 100

Overdose EMS 100

EMergucate

APRIL 4, 2017

A 37 year old man presents 20 hours after an overdose of 20 paracetamol tablets, 20 Ibuprofen tablets and 2.5 grams of Quetiapine. His Paractemol nomogram is attached

Overdose 100

Overdose EMS 100

EMergucate

APRIL 11, 2015

A 27 year old man is brought to your ED by ambulance after taking an overdose of a commonly used medication. He is tachypnoeic with a normal mental state and blood pressure. His ABG (RA) shows:

Overdose 100

Overdose Ambulance ED EMS 100

REBEL EM

SEPTEMBER 27, 2023

Value of the QRS duration versus the serum drug level in predicting seizures and ventricular arrhythmias after an acute overdose of tricyclic antidepressants. A Case of Massive Diphenhydramine and Naproxen Overdose. N Engl J Med. 1985 Aug 22;313(8):474-9. doi: 10.1056/NEJM198508223130804. PMID: 4022081. J Emerg Med. 2021.04.020.

E-9-1-1 98

E-9-1-1 Overdose EMS 98

Silk City Blog

JUNE 2, 2022

Written by Christopher Hart, DO This post first appeared on REBEL EM Introduction: Acetaminophen, N-acetyl-p-aminophenol, or APAP, is one of the most commonly used medications worldwide. While it is generally safely used, overdose can result in the development of liver failure due to APAP’s hepatotoxic metabolites.

Overdose 40

Overdose EMS OR 40

EMergucate

MARCH 26, 2013

A 40 year old man presents following a large overdose of an antispasmodic agent. Check out his ECG

Overdose 100

Overdose EMS 100

EMergucate

NOVEMBER 13, 2012

Cinchonism = toxidrome caused by quinine or cinchona bark overdose Signs and symptoms: tinnitus, impaired hearing blurred vision headache vertigo … Continue reading →

Overdose 100

Overdose OR EMS 100

EMergucate

APRIL 15, 2015

A young male presents after an overdose of a commonly used drug. Acute uncompensated respiratory alkalosis with mild hypokalaemia … Continue reading →

Overdose 100

Overdose EMS 100

EMergucate

JULY 10, 2016

A 44 year old man presents 12 hours following a Paracetamol overdose. He feels unwell with epigastric pain and nausea. … Continue reading →

Overdose 100

Overdose EMS 100

EMergucate

MARCH 31, 2013

She has presented to your facility with multiple overdose attempts b… This is the supine abdominal x-ray of a 25 year old who is intoxicated and has been complaining of abdominal pain with vomiting.

Overdose 100

Overdose EMS 100

EMergucate

FEBRUARY 1, 2022

According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. A 65 year old female is brought to ED via ambulance on a priority 1. Her GCS is 3 and the team is prepa…

Overdose 100

Overdose Ambulance Paramedic ED 100

EMergucate

FEBRUARY 2, 2022

According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. A 65 year old female is brought to ED via ambulance on a priority 1. Her GCS is 3 and the team is prepa…

Overdose 100

Overdose Ambulance Paramedic ED 100

REBEL EM

JUNE 5, 2023

Background Information: Opioid overdose deaths have been increasing in the past twenty years. The national number of overdose deaths from any opioid has increased 62.5% In addition, buprenorphine has a lower risk of death from overdose when compared to methadone (2). Drug overdose death rates. Homeless: 32.6%

Naloxone 84

Naloxone ED Overdose Emergency Department 84

FOAMfrat

JUNE 3, 2024

Right as you’re making your bunk you get dispatched for a reported overdose with police enroute, no further information. We go into it with preconceptions of what to expect: “It’s a simple heroin overdose, we’ll wake them up and they’ll refuse, then we’ll go back to bed”. We’ve all had this call before, right?

Overdose 98

Overdose Ambulance First Responder ALS 98

EMDocs

AUGUST 3, 2023

Massive acetaminophen overdose: effect of hemodialysis on acetaminophen and acetylcysteine kinetics. A multicenter comparison of the safety of oral versus intravenous acetylcysteine for treatment of acetaminophen overdose [published correction appears in Clin Toxicol (Phila). Adverse reactions to acetylcysteine and effects of overdose.

Overdose 80

Overdose E-9-1-1 OR ED 80