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em@3am

EM@3AM: Ethylene Glycol Toxicity

A 37-year-old male presents with altered mental status. He has a history of recurrent alcohol intoxication, and his wife found him on the couch after he was working in the garage. She is concerned because he seems to be much more intoxicated than is usual. She also found spilled containers of antifreeze in the garage. What could be going on with this patient? Is he just intoxicated?

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EM Educator Series: MALA exists and is bad for you!

This edition of the EM Educator Series covers a difficult topic: metformin-associated lactic acidosis (MALA). We start with a case, followed by key considerations and resources. As an added bonus, we have an educational download available as well!

em@3am

EM@3AM: Synthetic Cannabinoid Intoxication

A 20-year-old male college student arrives by ambulance restrained in a stretcher. Members of his fraternity called the police saying he became violent and agitated after "burning incense". He is hypertensive and tachycardic with a normal blood glucose. What is the diagnosis, and what are your next steps?