CORE EM: Intrathecal Baclofen Withdrawal
Learn the common presentation of baclofen withdrawal in this great CORE EM post!
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Toxicology
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!
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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?
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Tox Cards: Athletic Enhancement Drugs
Be careful how you decide to keep your NYE resolution to get in shape! This week’s Toxcard covers athletic enhancement drugs.
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Weapons of Mass Effect/Terror: Content for the Emergency Physician
Increasing political tensions, terrorist groups, and general turmoil faced around the world makes the possibility of a biological, chemical, or other attack on American soil a true reality. In the event of such an attack, one must depend on the knowledge, preparedness, and action of Emergency Physicians and others to act in a timely manner in order to care for the injured.
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Snake Bite Compartments… to cut or not to cut
Compartment syndrome is a rare complication that can occur after snake bites and should be managed primarily using antivenin. Keep orthopods and their scalpels at bay.
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Tox Card: Cardiovascular Drug Effects on the Action Potential and ECG
Today we will review the basics of cardiovascular drug effects on the different phases of the action potential.
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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.
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Tox Card: Shhhhh…. It’s SILENT
SILENT syndrome is a severely disabling syndrome that is difficult to diagnose but should be suspected in patients with altered mental status and neurologic changes with a history of lithium use.
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