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Questions: What are the symptoms of second-generation antipsychotic overdose? How is second-generation antipsychotic overdose diagnosed? What is the treatment for patients who have overdosed on second-generation antipsychotics? 4 The specific incidence of second-generation antipsychotic drug overdose is unknown, however, 4.7%
The post EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips appeared first on Emergency Medicine Cases.
Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Naloxone is a well-established medication used primarily for reversing opioid overdoses.
Nick Clarridge reviews the "low and slow" overdoses: calcium channel blocker and b-blocker toxicity recognition and management in this EM Cases Rapid Reviews Video. The post Rapid Reviews Video – Low and Slow Part 1: Calcium Channel Blocker and B-blocker Overdose appeared first on Emergency Medicine Cases.
Aaron Orkin discuss the latest in naloxone in opioid overdose cardiac arrest and altered LOA, a 5-step approach to ED opioid withdrawal management and how we can improve mortality and morbidity in patients with opioid use disorder in the era of the opioid epidemic.
In this Rapid Reviews Video Nick Clarridge covers an approach to the bradycardic and hypotensive patient as well as the recognition, management and controversies of digoxin overdose. The post Rapid Reviews Video – Low and Slow Poisoning Part 2: Digoxin Overdose appeared first on Emergency Medicine Cases.
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.
The research I have based on over 20,000 EMS run forms shows naloxone has remained effective over the years. It is easy for us in EMS to be patient because we have the equipment ==ambu-bags –to breathe for patients while the naloxone is getting to work. Which is not to say some people arent getting 20 milligrams.
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.
After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). Bystander CPR has been shown to double survival rates compared to cases where no CPR is performed prior to EMS arrival. Want to learn more?
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.
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.
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.
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?
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
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.
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 (..)
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.
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.
Register for Webinar Tuesday, July 16 th | 11:00 am – 12:00 pm PT Overdoses continue to plague communities throughout the US and Canada. One North American EMS system recently had 245 overdoses in a single day. Identifying, tracking, and mapping overdoses is key to effective intervention.
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.
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.
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.
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.
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
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:
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.
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.
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.
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…
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…
EMS arrived and found him in Ventricular Fibrillation (VF). This patient was witnessed by bystanders to collapse. They started CPR. He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. After 1 mg of epinephrine they achieved ROSC. sodium bicarbonate.
Hyperkalemia, Sodium-channel blockade (ex: tricyclic acid overdose), Pre-excitation syndromes (ex: Wolff-- Parkinson-White syndrome), Aberrant conduction (ex: bundle branch blocks), Ventricular-Paced beats, Hypothermia, Ventricular ectopy What immediate interventions should be considered based off of this initial ECG?
EMS or family reports of chemicals, pill bottles, etc should be elicited. Acute iron overdose can cause anion gap acidosis, GI symptoms including bleeding, and shock and an overal critically ill presentation. Buy your merch here! Click here to claim your free CME credit! Correlate cautiously with the clinical picture (e.g.
With overdose rates […] The post EMTs and the Opioid Crisis: Frontline Responses and Interventions appeared first on Unitek EMT. According to the FCC’s Connect2Health publication, Synthetic opioids, such as fentanyl, have worsened the situation, accounting for over 82 percent of all opioid-related fatalities in 2020.
Hyperkalemia, Sodium-channel blockade (ex: tricyclic acid overdose), Pre-excitation syndromes (ex: Wolff-- Parkinson-White syndrome), Aberrant conduction (ex: bundle branch blocks), Ventricular-Paced beats, Hypothermia, Ventricular ectopy What immediate interventions should be considered based off of this initial ECG?
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