toxicological emergencies

Image Credit: Flickr Author: Pollianne Ward, MDTemple University Hospital Originally Published: Modern Resident January 2013 A 46-year-old female presented to an urban emergency department with complaints of a fall and altered mental status per family. It was reported that the patient had begun to experience nausea and vomiting followed by somnolence one day prior. She […]

Author: Meaghan Mercer, MSIVWestern University of Health SciencesAAEM/RSA Medical Student Council President ’11-’12 Originally Published: Modern Resident October/November 2011 Walking onto my shift a few days ago, I heard shrieking coming from my pod, and I knew this would be an interesting night. I rushed over to find a female restrained by four police officers […]

Image Credit: Dr. Wanner This post was peer reviewed.Click to learn more.   Authors: Gregory Wanner, DO Emergency Physician/Clinical Faculty Christiana Care Health System @gregwanner Paul Kolecki, MD Associate Professor, Emergency Medicine Medical Toxicologist Thomas Jefferson University An 18-year-old male presents to the emergency department (ED) stating, “Doc, I’m really drunk.” He and a friend […]

Author: Ashley Grigsby, DO, Indiana University Noncardiogenic pulmonary edema (NCPE) is a clinical entity consisting of alveolar fluid accumulation without evidence of cardiac cause.[1] Although there are many non-toxicologic causes of NCPE, both opiate overdose and salicylate toxicity are known to cause NCPE and should be part of one’s differential diagnoses. Opiate overdose induced NCPE […]

Originally Published: Modern Resident, Dec/Jan 2010 Submitted by: Saadiyah Bilal, Publications Committee, Co-Chair Iron toxicity remains a common toxidrome in the emergency department and is the leading cause of pediatric overdose death under age 6. Its antidote, defuroxamine, was recently designated by the Antidote Summit Authorship Group (Ann Emerg Med, Sept. 2009) as a medicine […]