Welcome back to Tox in the Land! This month’s edition is brought to you by one of our 3rd year residents, Dr. Ems. He is giving us a little bit of a throw back and reviewing the Chicago Tylenol Case. Cyanide is an important board review topic and is a diagnosis that needs to always be on our differential. Remember to always call your poison center!
Read MoreWelcome to the new year! We start this year off with a classic… TCA toxicity that is brought to you by one of our 3rd years, Dr. Wes Gallaher. TCA’s are some dirty drugs with a lot of different clinical effects.
High yield points for the management:
1. Evaluate hemodynamics
2. Obtain an EKG at the beginning and 6 hours after ingestion
3. Watch those intervals!
4. When in doubt: Benzos for seizures and Sodium Bicarbonate for a wide QRS
Remember to always call your friendly poison center!
Read MoreThis latest Intern US of the Month is by Dr. Sam Hertz and features a great discussion on using POCUS to evaluate for ascites and guide paracentesis.
Read MoreOur next EBM post is brought to you by Dr. Jenny Caprez, PGY3, and centers around a discussion about hypothermia management in the ED.
Read MoreOur next EBM blog post is by Dr. Ray Jabola and features a great discussion about the EDACS score and managing chest pain in the the ED.
Read MoreWelcome back to Tox in the Land for the last edition of this academic year. Here, Dr. Ray Jabola, one of our graduating third years brings you a high yield review of warfare agents. With the rise of monkeypox it is a good time to review rashes. Thanks for reading and remember to call the Poison Center!
Read MoreOur next EBM post by PGY3 Dr. Deniz Eren discusses the management of anaphylaxis in the ED.
Read MoreThis latest Intern US of the Month case by Dr. Juan Valdes Infante showcases the utility of POCUS in evaluating for multiple ankle pathologies. Learn more about calcaneal avulsion fractures, which are often a surgical emergency, and how to assess for various ankle pathologies using POCUS!
Read MoreWelcome back to Tox in The Land, where Toxicology and Cleveland join forces for good. This month’s post is from Dr. Julieta Lacey, one of our former ED residents and current critical care fellows. She will discuss cardiac glycosides and their management. Thanks for coming along and remember to call your poison center!
Read MoreThis Intern US of the Month features a great case by Dr. Rich Dowd of an extensive aortic dissection spanning from the aortic arch to the bifurcation with extension into the left subclavian artery. Check out the full post to learn more!
Read MoreHere’s a great post on temporary cardiac pacing by Tessa Nelson, MS4, who recently completed a Resus rotation with us! She discusses the potential complications of both transcutaneous and transvenous pacing and the evidence behind it.
Read MoreThis latest Intern US of the Month features a case of a traumatic pneumothorax and a great discussion on this time-saving and highly useful POCUS assessment by Dr. Blake Nelson!
Read MoreThis Intern US of the Month features a unique case of asteroid hyalosis, a mimicker of vitreous hemorrhage, diagnosed with POCUS by Dr. Eniola Gros!
Read MoreThis latest Resus blog post is by Sarah Seresinghe, MS4, who recently completed a Resus rotation with us! She discusses the impact of family presence during the resuscitation of their loved one. This practice has been shown to have potential psychological benefit to the family without negatively impacting resus effort or quality, long-term outcomes, or medicolegal claims.
Read MoreHere’s our next installment of Tox in The Land! It’s brought to you by Dr. Dani Rao, one of our rising chief residents. She will review CO poisoning and its management. With the weather changing, it’s a good time to review this topic as CO is not only seen in the winter. The biggest takeaway is to always have it on your differential, give everyone oxygen, and evaluate the patient for concomitant injuries. Always remember, when in doubt, call your local Poison Control Center for questions and concerns!
Read MoreThis latest Intern US of the Month features a great case of small (and large) bowel obstruction and discussion on how and why to assess for this with POCUS! Brought to you by Dr. Will Heersink!
Read MoreOur first EBM blog post is by R3 Dr. Leonard Keller and features a great discussion about seizure management in the ED.
Read MoreThis next Resus blog post is by MS4 Lorado Mhonda. It features a great discussion of how to approach the resuscitation of a hemodynamically unstable patient who is high-risk for PE and right heart dysfunction.
Read MoreThis is a great case and discussion by Dr. Connor Parsell (PGY2) of imperforate hymen resulting in hematocolpos, diagnosed clinically and confirmed with POCUS in the ED.
Read MoreOur next post for Tox in the Land comes from Dr. Emily Craft. She is one of our chief residents and our future Medical Education Fellow. She has a strong passion for DEI work, toxicology and education. Her topic of choice was toxicologic causes of acute liver failure. The differential for acute liver failure is long and complex and Dr. Craft reminds us why the social history is key! Enjoy and remember to always call your local Poison Center!
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