University of Maryland Department of Emergency Med

JULY 18, 2023

Standard treatment for APAP overdose is with N-acetylcysteine (N. Acetaminophen (APAP) is the leading cause of acute liver failure worldwide. Click to view the rest

Overdose 61

Overdose 61

Emergency Medicine Cases

AUGUST 27, 2019

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.

Overdose 130

Overdose EMS 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

Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. And she does not know that this is an overdose; she thinks it is a patient with chest pain!! Comment on High Dose Insulin and Calcium Channel Blocker Overdose I do not have any explanation for the ST-T abnormalities here. The initial K was 3.0

Overdose 88

Overdose E-9-1-1 Coronary OR 88

Emergency Medicine Cases

OCTOBER 23, 2018

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.

Overdose 130

Overdose Emergency Management Emergency Manager Naloxone 130

Emergency Medicine Cases

JULY 15, 2019

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.

Overdose 130

Overdose EMS 130

Emergency Medicine Cases

MAY 7, 2019

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.

Overdose 130

Overdose STEMI EMS 130

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 104

Overdose EMS OR 104

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Naloxone is a well-established medication used primarily for reversing opioid overdoses. Traditionally, naloxone has been used in cases of suspected opioid overdose where patients exhibit signs of severe respiratory depression or loss of consciousness (LOC). Today’s study looks at the role of naloxone in OHCA.

Naloxone 242

Naloxone NARCAN Overdose CPR 242

University of Maryland Department of Emergency Med

APRIL 10, 2023

Glucagon therapy in beta blocker and calcium channel blocker overdose is controversial and no high level evidence is available to support or. Click to view the rest

Overdose 40

Overdose OR 40

Silk City Blog

JUNE 2, 2022

While it is generally safely used, overdose can result in the development of liver failure due to APAP’s hepatotoxic metabolites. Hepatic necrosis is preventable in overdose with timely administration of N-acetyl-cysteine (NAC) which restores glutathione reserves, allowing for safe excretion of these hepatotoxic metabolites.

Overdose 40

Overdose EMS OR 40

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

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

EMergucate

JANUARY 9, 2024

20 year old epileptic woman presented to the emergency department after polypharmacy overdose. Her VBG showed the following: PH = … Continue reading →

Overdose 130

Overdose Emergency Department 130

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 187

Overdose Emergency Department ALS ED 187

EMergucate

AUGUST 10, 2022

You are reviewing a 16 year old girl who has taken an estimated 66-222mg/Kg overdose of her grandmothers SR Theophylline … Continue reading →

Overdose 130

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

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

EMS 20/20

APRIL 13, 2022

Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient. Do they take the wrong path? probably, but listen and find out why they go where they go on this week's episode!

Overdose 40

Overdose 40

Peter Canning

SEPTEMBER 10, 2024

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 by itself isn’t worth much if there is no one to administer it when a patient overdoses.

Naloxone 52

Naloxone EMS Overdose Emergency Medical Services 52

The Skeptics' Guide to EM

JANUARY 19, 2019

The EMS crew observes drug paraphernalia and suspect an intravenous (IV) opioid overdose. Background: There have been close to 400,000 deaths from an overdose involving any opioid (prescription and illicit opioids) between 1999 and 2017. [1] Wave 2: Rapid increase in overdose deaths involving heroin starting in 2010.

Naloxone 130

Naloxone Overdose Emergency Medical Services Emergency Department 130

Peter Canning

SEPTEMBER 19, 2024

overdose deaths plummet, saving thousands of lives, blared the headline from NPR yesterday. Ten years ago when I responded to an overdose, I was the only one carrying naloxone. For the 12-month period April 2023 to April 2024, deaths fell nationally for the first time, declining by 10%. We know what works! Let’s double our efforts!

Naloxone 52

Naloxone Overdose First Responder OR 52

ACEP Now

JULY 7, 2023

Xylazine is a veterinary sedative that has been increasingly implicated in overdose deaths throughout the United States. percent of all overdose deaths in 2020. 1 Known by street names such as “tranq,” “tranq-dope,” or “zombie drug,” xylazine is increasingly found in patients with opioid overdose. Drug and Alcohol Dependence.

Overdose 98

Overdose ALS Naloxone Emergency Department 98

EMergucate

AUGUST 4, 2021

A 60 year old male presents with an overdose. Below is the patients ECG: Describe and interpret the ECG What … Continue reading →

Overdose 130

Overdose 130

EMergucate

OCTOBER 2, 2022

A young man with history of asthma, presented to the emergency department after taking an overdose of his asthma medication. … Continue reading →

Overdose 100

Overdose Emergency Department 100

Unitek EMT

JULY 5, 2024

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.

EMT 71

EMT EMT Overdose EMS 71

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-9-1-1 105

E-9-1-1 Overdose EMS 105

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 67

E-9-1-1 Overdose Emergency Medical Services Life Support 67

International Journal of Paramedicine

JULY 8, 2024

Emergency Medical Services (EMS) play a crucial role in responding to opioid overdoses. Purpose: Buprenorphine is a lifesaving medication in opioid use disorder (OUD). The pre-hospital use of buprenorphine by EMS can expand access to this important medication.

Emergency Medical Services 94

Emergency Medical Services Overdose EMS 94

The Skeptics' Guide to EM

AUGUST 27, 2022

Case: A 24-year-old male presents to the emergency department (ED) after a fentanyl overdose. You are interested in seizing this opportunity to offer some type of help to this patient to prevent another opioid overdose in his future. He is successfully resuscitated using naloxone and is stable after an observation period.

Emergency Department 100

Emergency Department Overdose Naloxone ED 100

St. Emlyn's

FEBRUARY 24, 2024

This month we focus on habits, the management of the comatose overdose patient and retention/recruitment issues in UK emergency medicine. St.Emlyn's - Emergency Medicine #FOAMed Our regular podcast round up with @docib and @emmanchester of the best of the blog from January 2024. appeared first on St.Emlyn's.

Overdose 90

Overdose Critical Care 90

EMergucate

AUGUST 9, 2022

You are reviewing a 16 year old girl who has taken a 120mg/Kg overdose of her grandmothers theophylline tablets. Her … Continue reading →

Overdose 100

Overdose 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 98

Naloxone ED Overdose Emergency Department 98

EMergucate

APRIL 11, 2022

20 year old epileptic woman presented to the emergency department after polypharmacy overdose. Her VBG showed the following: PH = … Continue reading →

Overdose 100

Overdose Emergency Department 100

EMergucate

APRIL 3, 2019

The ECG below is taken from a collapsed 70kg 56 yo man with a known mental health history, thought to have taken a multi-drug overdose.

Overdose 130

Overdose 130

EMergucate

JULY 1, 2020

The following ECG is taken from a 27 year old female who has presented following an intentional overdose of an unknown quantity of escitalopram and alcohol.

Overdose 130

Overdose 130

EMergucate

JUNE 30, 2020

The following ECG is taken from a 27 year old female who has presented following an intentional overdose of an unknown quantity of escitalopram and alcohol.

Overdose 130

Overdose 130