ToxCard: Radiopaque toxins on radiography
How can you remember radiopaque toxins on radiography? Heard of COINS?
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TOXCards
Updates on Cannabis Use and Dangers in the U.S.
The toxicology world is constantly changing. Today’s THC is one such example. This post provides the need-to-know for emergency physicians on THC.
Updates on Cannabis Use and Dangers in the U.S. Read More »
Toxicologic Tachycardias
Several agents, both legal and illegal, can cause significantly elevated heart rates. This article reviews the most common causes of drug-induced tachycardia. Diagnosis and management of these conditions are also discussed.
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Core EM: Hyperinsulinemia Euglycemia Therapy (HIET) for BB and CCB Toxicity
A great post by Core EM – Bringing core EM content to anyone, anywhere, anytime. Learn the HIET for beta-blocker and calcium-channel-blocker toxicity by Dr. Jenny Beck-Esmay, MD (@jbeckesmay)
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The Approach to the Poisoned Patient
A focused update on poisonings, toxicologic emergencies, and toxidromes with pearls, pitfalls, and myths. What can the emergency physician miss?
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Physostigmine for Management of Anticholinergic Toxidrome
From the understanding of physostigmine’s mechanism of action and the above data, we would like to summarize key points and recommendations regarding the use of physostigmine.
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Lipid Emulsion Therapy
“The lack of high-quality controlled human studies precludes ILE as a first-line agent for indications other than local anesthetic systemic toxicity”
Thanks to James Cao, MD for this excellent review of the literature on the use of ILE therapy in various toxicologic emergencies.
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Electronic Cigarettes and Liquid Nicotine Poisoning
“The delayed phase consists of cns and respiratory depression, dyspnea, bradycardia, hypotension, shock, mydriasis, weakness, muscle paralysis, and coma”
We are very pleased to present you with this overview on the potential dangers of electronic cigarettes and liquid nicotine from the toxicologists at UT Southwestern.
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Alternative "Legal" Highs: Kratom, Salvia Divinorum, Methoxetamine
“Think about these substances in a patient with either an opioid, sympathomimetic, or hallucinogenic toxidrome”
Alex Koyfman, MD summarizes the assorted clinical presentations of these three “legal” highs.
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Bath Salts
“Psychosis that can last for days to weeks”
Unless your patient on bath salts is very forthcoming, you may be on your own when making this clinical diagnosis. Be prepared with this primer on cathinones by Kyle Brown, MD.