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em@3am

EM@3AM – Beta-Blocker Toxicity

A two-year-old male presents to the emergency department following the ingestion of his grandmother's propranolol. Upon presentation, the young boy is lethargic. EKG demonstrates sinus bradycardia (heart rate: 39 beats per minute) and a first degree AV block. How do you treat this patient's bradycardia? Read this week's review of beta-blocker toxicity for a rapid refresher.

FOAMED

Tox Cards: Novel Synthetic Opioids

Fentanyl and fentanyl derivatives are causing a spike in overdose deaths, whereas deaths from prescription opioids are stabilizing. Patients overdosing on novel synthetic opioids or "designer opioids" can require high doses of naloxone. Health care personnel can be at risk for exposure without proper protection.

Peds EM Morsels

Laundry Detergent Pod Toxicity

Laundry detergent pods may look tasty, but they can have significant toxicity if ingested, inhaled, or exposed to mucous membranes in pediatric patients. This post from Sean Fox details what you need to know.