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

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

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

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

JEMS

APRIL 3, 2025

Knox County's Metro Drug Coalition has created a care coordinator position to help connect individuals who have experienced an overdose with recovery resources.

Overdose 52

Overdose 52

JEMS

APRIL 3, 2025

The Jackson Fire Departmentis taking a proactive approach to preventing opioid overdoses with the installation of a publicly-accessible Narcan box.

NARCAN 52

NARCAN Overdose 52

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 105

Overdose EMS OR 105

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

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

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

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

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

ESO

DECEMBER 18, 2024

In 2023, EMS clinicians responded to 236,000 calls for suspected opioid overdoses, representing nearly 2% of all EMS calls nationwide. The 2024 ESO EMS Index reveals that 82% of patients with suspected opioid overdoses received naloxone, a medication that can reverse opioid effects.

CPR 52

CPR Naloxone Overdose Defibrillator 52

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

ALiEM

FEBRUARY 5, 2024

Cambron DO Jun 1, 2023 AIR EM Docs N-acetylcysteine for Acetaminophen Toxicity Eric Sabatini Regueira, MD and Ann-Jeannette Geib, MD Aug 3, 2023 HM EM Docs Methylene blue Quinton Nannet, MD and Christine Murphy, MD Dec 27, 2022 HM EM Docs Acute organophosphate toxicity Daniel Escobar, MD and Ann-Jeannette Geib, MD Jun 7, 2023 HM Core EM Updates in (..)

Overdose 215

Overdose Critical Care EMS Emergency Department 215

The Skeptics' Guide to EM

APRIL 20, 2024

With the 2014 CDC declaration that prescription drug overdose is one of the five top health threats, there has been a movement away from opioids as the mainstay of pain management for rib fractures [6].

Emergency Department 218

Emergency Department Overdose ALS ED 218

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

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

FirstWatch

JUNE 18, 2024

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.

Overdose 40

Overdose CAD Emergency Medical Services EMS 40

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

Emergency Medicine Cases

APRIL 20, 2021

AV nodal blocker overdose? What are the latest recommendations about dosing of atropine and when is atropine likely to be detrimental? How is the treatment of bradycardia different in the patient with hypothermia? Cardiac ischemia? Myxedema coma? What are the most common pitfalls in utilizing transcutaneous and transvenous pacing?

Overdose 130

Overdose EMS Epinephrine 130

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

International Journal of Paramedicine

MARCH 15, 2025

A meaningful portion of patients used opioids for pain management, with a subset identified at high risk for opioid misuse or overdose. Results: Analysis of 435 patient screenings revealed notable findings. While most patients stored medications safely, disposal practices varied, highlighting a need for education and intervention.

Paramedic 52

Paramedic Community Paramedicine Paramedicine Paramedicine 52

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

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

JUNE 21, 2022

17 year old girl presented to ED with aspirin overdose. Her VBG showed the following: PH = 7.45 pCO2 = … Continue reading →

Overdose 100

Overdose ED 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 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 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

AUGUST 1, 2021

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

Overdose 100

Overdose 100

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

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

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

SEPTEMBER 30, 2019

18 year old man was brought to ED with an overdose of unknown medication. He was intoxicated and very agitated. He needed 4 security guards to restrain him so a medical officer can put a cannula an…

Overdose 100

Overdose ED 100