EMDocs

APRIL 10, 2024

While not specifically reviewed in this post, check out the methemoglobinemia tox card for more information about one of the other known events that can occur with local anesthetic administration. Poisoning & Drug Overdose. Toxicity from these drugs can take multiple forms. [1-5] per 10,000 cases of peripheral nerve blocks. [3]

E-9-1-1 111

E-9-1-1 Plasma Epinephrine Life Support 111

REBEL EM

JULY 17, 2023

PMID: Clinical Question: Does a single dose of ketamine or etomidate used for rapid sequence intubation (RSI) of critically adults in the ED impact the SOFA score within 3 days of hospitalization? Range 5 to 9) Etomidate: 7.0 Range 5 to 9) Diff -0.2; 95% CI -1.4

ED 97

ED ICU Emergency Department Overdose 97

Dr. Smith's ECG Blog

JUNE 15, 2013

As for precordial leads: this is from my files and I don't have all the information, but it is clearly a right sided ECG (QRS in V5, V6 is inverted from QRS in I, aVL) What else do you see? He took potassium pills and overdosed. There is ST elevation in II, III, and aVF and reciprocal ST depression in aVL. Lessons : 1.

STEMI 52

STEMI Overdose ED OR 52

First Responders Foundation

DECEMBER 31, 2024

When he and his partner responded to a call for service involving a drug overdose in December 2023 – This was during his first shift as an EMS provider. She practices community support security by engaging the public with information rather than aggressively asserting her authority. The post 2024 Honorable Order of St.

Public Safety 52

Public Safety Emergency Medical Technician First Responder Emergency Medical Services 52

Gold Cross Ambulance Service

JUNE 29, 2022

To get a better understanding of why people call emergency services, we’re going to look at data provided by the National Emergency Medical Services Information System , which is a national EMS database. From an asthma attack to an overdose causing impaired breathing, we’ve seen our fair share of respiratory emergencies.

Ambulance 52

Ambulance Heart Attack Emergency Medical Services Overdose 52

ESO

APRIL 19, 2024

Data is being put front-and-center in the fire services industry with the implementation of the new National Emergency Response Information System (NERIS) by the U.S. Fire Administration. In Modernizing Fire & All-Hazards Incident Data and Analysis with NERIS by Rebecca Harned , Advisor, U.S.

MIH 105

MIH EMS Paramedic Firefighter 105

ACEP Now

FEBRUARY 11, 2024

There have been documented cases of overdose, and of note, there is no known antidote. Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Contrave (naltrexone HCl/bupropion HCl) prescribing information. CNN website. Published December 18, 2023.

Overdose 52

Overdose ACS Plasma ALS 52

REBEL EM

DECEMBER 19, 2022

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF).

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

The Good, The Bad & The Ugly Paramedic

MARCH 1, 2021

Sometimes, a distant snippet of information will arouse suspicion. An accidental opioid overdose and its nemesis, naloxone. Gain information and vitals from a patient to determine whether or not we intervene. It wants us to wait until it has worked its way back to the surface. Laryngeal spasm and an influx of oxygen.

Ambulance 52

Ambulance Paramedic Naloxone First Responder 52

NCOAE

MARCH 8, 2021

On the other hand, you could be called in to attend to the victim of a car accident or a shooting or a heart attack, drowning, mountaineering accident, or drug overdose. Then click the link for your state’s EMS page and look around the resulting web page for information related to certifications and training.

EMT 52

EMT EMT Emergency Medical Technician AEMT 52

The Skeptics' Guide to EM

JUNE 24, 2023

EDs are an important touch point for individuals with opioid use disorder (OUD), given the number of encounters for overdose and complications associated with drug use. Fentanyl test strips (FTS) have been suggested as one harm reduction strategy to reduce opioid overdose deaths.

Overdose 198

Overdose Emergency Department ALS ED 198

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.

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

FOAMfrat

DECEMBER 26, 2024

Unlike other methods, such as firearms, hangings, intentional overdoses, and cutting, chemical suicides tend to linger in the area where the act was committed. The ability to mix and match chemicals that are toxic and/or fatal is expansive, and in todays information age, its unfortunately at everyones fingertips. 2019, 10 30).

Epinephrine 116

Epinephrine OR First Responder Emergency Manager 116

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

Peter Canning

JANUARY 20, 2024

I have called the time on a number of her neighbors in this building, some of them victims of overdose. While the news often focuses on the dangers of fentanyl to youth, what I see on the street and what the data shows is that the group that is seeing the biggest increase in overdoses is the elderly. of all overdoses to 11.1%.

Overdose 59

Overdose Naloxone Firefighter EMS 59

EMDocs

JANUARY 17, 2024

What are the treatment options for a benzonatate overdose? 7) Overdose literature review timeline: In 1986, the first two benzonatate fatalities were reported in the literature: a choking infant and an intentional overdose in a teenager. (8) There is no specific toxidrome or antidote for a benzonatate overdose.

E-9-1-1 94

E-9-1-1 Overdose Emergency Medical Services Life Support 94

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). Characteristics: Mean age 35.5 Homeless: 32.6%

Naloxone 95

Naloxone ED Overdose Emergency Department 95

ACEP Now

MAY 8, 2023

Unfortunately, most cases are not so simple, with half of them being unintentional overdoses, many with a delayed presentation; some with delayed-release formulations, combined formulations, or co-ingestions, and some in patients with co-morbidities—all factors that make recognition and management more challenging. for death. for death.

Overdose 52

Overdose ALS OR EMS 52

This Podcast Will Kill You

AUGUST 20, 2024

How do they know so much and where do they get their information? Health care cost savings from Australian Poisons Information Centre advice for low risk exposure calls: SNAPSHOT 2. CDC: May 14, 2024 Drug Overdose Death Rates. Clinical Toxicology , 58 (7), pp.752-757. LoVecchio, Frank, et al. Press, Edward, and Robert B.

Overdose 52

Overdose ALS 52

EM Basic

MARCH 13, 2019

Today’s episode of the podcast is a myth busting on all the media reports about first responders overdosing by being exposed to fentanyl in the field by incidental contact. 100 micrograms is not enough to cause an overdose in an adult. Even if you were to try to overdose on fentanyl patches this is next to impossible.

Naloxone 52

Naloxone Overdose First Responder NARCAN 52

Dr. Smith's ECG Blog

MAY 28, 2013

A 31 year old male presented obtunded after a suspected intentional overdose with amitryptiline. The electrophysiologist was of the strong opinion that an IVCD was not indicated without further information. He was intubated, and this ECG was recorded: Time zero: QRS duration = 162 ms, QRS axis = 147.

Overdose 52

Overdose OR 52

ACEP Now

JANUARY 5, 2025

The rates of sICH were consistent with the typical one percent to two percent generally quoted during informed consent, whereas rates of aICH were ten times this number. As it turns out, common sense likely rules the day when presented with patients whose low GCS is the result of a self-limited overdose toxidrome.

ALS 40

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

This Podcast Will Kill You

AUGUST 13, 2024

Health care cost savings from Australian Poisons Information Centre advice for low risk exposure calls: SNAPSHOT 2. CDC: May 14, 2024 Drug Overdose Death Rates. Clinical Toxicology , 58 (7), pp.752-757. LoVecchio, Frank, et al. “Poison control centers decrease emergency healthcare utilization costs.”

Overdose 52

Overdose ALS 52

Dr. Smith's ECG Blog

JULY 21, 2024

These are also the most commonly reported findings in toxic overdoses with ventricular arrhythmias being reported as the leading cause of death. Information is scarce when it comes to what constitutes a toxic dose. The most common side effects of Quinidine is hypotension and QTc prolongation.

Defibrillator 130

Defibrillator Coronary ALS STEMI 130

EMDocs

JANUARY 16, 2024

In our case, the patient had accidentally overdosed on drugs prior to being found. For more information, please check out this excellent prior post on Hypothermia and Drowning Pearls: [link] For more hypothermia cases, please visit the following EM@3AM links: [link] [link] References: Headdon WG, Wilson PM, Dalton HR.

Defibrillator 111

Defibrillator CPR Epinephrine Life Support 111

AAEM RSA

MARCH 4, 2021

Who do we, as providers, turn to for consent or discussion of options, or basic medical information? We rely on the patients’ family members to provide basic yet invaluable information about their history, their wishes, their clinical course when the patients cannot speak for themselves.

Overdose 52

Overdose OR ED EMS 52

Paramedic Training Spot

NOVEMBER 29, 2021

Those who have been on an ambulance for the past 20 years are a vault of information-listen to their stories, their triumphs, and their failures. The EMT class book in New Jersey may seem daunting, but the information in it can, and will, save somebody’s life. Do every bit of work you can to make the information stick.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

Pediatric EM Morsels

SEPTEMBER 1, 2023

I will only share information with parents/guardians if I am worried about their safety. In a teen who presents with vomiting and abdominal pain, is this “just” viral gastroenteritis, or could this be a Tylenol overdose ? I would I’d like to talk to your teen about sex, drugs, and important things about her/his health.

ED 164

ED Emergency Department Overdose ALS 164

ALiEM

JANUARY 6, 2025

Necrotizing fasciitis Case Question: Will naloxone reverse a xylazine overdose? Thus, Narcan is reasonable to administer in the setting of a suspected overdose since the patients presentation can be due to combined use. However, fentanyl is the most common drug combined with xylazine.

NARCAN 141

NARCAN Overdose Naloxone Emergency Department 141

Peter Canning

FEBRUARY 7, 2025

Some days she sat outside the bathroom door and monitored the three-minute clock to make certain the person in the bathroom was okay and not overdosed. o Include information on naloxones purpose, how to request it, and whether a trained pharmacist is available to write prescriptions for insured customers.

Naloxone 59

Naloxone NARCAN Overdose OR 59

Core EM

DECEMBER 1, 2024

The risk of unintentional overdose due to combination products. The potential for unintentional overdose when taking multiple medications containing acetaminophen. Formation of the toxic metabolite NAPQI during overdose situations. The difference between therapeutic dosing and overdose metabolism.

Overdose 130

Overdose ED OR 130

EMDocs

JANUARY 22, 2025

Background: Fentanyl has contributed to a significant increase in drug overdose deaths in recent years. A prospective study of 453 patients who were admitted after receiving naloxone reported life-threatening complications in over 1% of heroin-overdosed patients. Clinical Pearls: Naloxone is lifesaving in opioid overdoses.

Naloxone 98

Naloxone E-9-1-1 Overdose NARCAN 98

Peter Canning

FEBRUARY 13, 2025

In an article by New England Public Media, Health experts alarmed at new overdose drug marketed to WMass police departments , a police chief in Dalton Mass stunningly poo-poos the experts warnings about the drug, actually saying, The DPH and these people, they’re not in the field, she said. They felt faint, some even passed out.

Naloxone 64

Naloxone Overdose Emergency Medical Services EMS 64