#FOAMtox

Learn about pyridoxine (vitamin B6) use for INH, mushrooms, ethylene glycol toxicity, and more!

Welcome back to the 52 in 52 series. Our twentieth post looks at hyperbaric oxygen in CO toxicity.

What do you need to know about buprenorphine in the ED setting?

A 45-year-old male with a history of cocaine use presents to the ED with one day of worsening shortness of breath, cough, and fever. He is coughing up sputum streaked with blood. He endorses smoking crack cocaine the night before his symptoms started but denies injecting, using other drug use, or vaping. Vital signs include blood pressure 152/86 mmHg, heart rate 110 beats per minute, temperature 38°C, respiratory rate 23, oxygen saturation 86% on room air. Exam reveals a man in moderate respiratory distress. X-ray demonstrates diffuse alveolar infiltrates bilaterally, and CT shows diffuse ground glass opacities bilaterally. What is the most likely diagnosis?

Visual Wednesdays is back with alcohol withdrawal.

Digoxin toxicity can be challenging in its presentation and management. This Tox Card gives you what you need for your next shift.

What do you need to know about body packers, stuffers, and pushers? This post from Laurence Baril provides key points.

What do you need to know about superwarfarins?

This post from Jack Yancey covers evaluation and management of alcohol withdrawal.

The EM Educator series looks at MALA. How do these patients present, what should you consider, and what is the management?