toxicology

• Dip, Chew, and Snuff: A Case of Nicotine Toxicity

  Authors: Tim Montrief, MD MPH and Mehruba Anwar Parris, MD FAAEMAAEM/RSA Publications & Social Media Committee and Common Sense Assistant Editor Originally published: Common Sense May/June 2019 CaseA 25-year-old Caucasian male with no significant known past medical history presented to a community emergency department via EMS with palpitations and altered mental status while on vacation at […]
• The Utility of Intravenous Lipid Emulsion Therapy in the Management of Acute Calcium Channel Blocker Overdose

  Image Credit: Wikipedia This post was peer reviewed.Click to learn more. Author: Mary E. Blaha, DO Indiana University School of MedicineAAEM/RSA Publications and Social Media Committe Calcium channel blocker (CCB) overdose is a potentially lethal toxicity with multiple management options available. Intravenous lipid emulsion (ILE) therapy is a potential treatment that is being used with […]
• Marine Envenomations

  Image Credit: Pexels This post was peer reviewed.Click to learn more. Authors: Grant Barker, MS4 University of Miami Miller School of Medicine Tim Montrief, MD MPH Jackson Memorial Health System/University of Miami AAEM/RSA Publications and Social Media Committee Member Case While spearfishing for lionfish off the coast of Key West during one of our yearly […]
• Bark Scorpion Stings

  Image Credit: Flickr This post was peer reviewed.Click to learn more. Author: Ashley Grigsby, DO, PGY-3 Indiana University combined Emergency Medicine/Pediatrics Centruroides sculpturatus, also known as the bark scorpion, is a type of venomous scorpion found in the Southwestern United States, i.e. Arizona, Nevada, New Mexico and Texas. The majority of these stings occur in […]
• Toxicology Review: Chronic Salicylate Poisoning

  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 […]
• Tox Talks: Bath Salts

  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 […]
• Board Review: Toxic Alcohols

  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 […]
• Tox Talks: Lithium Toxicity

  Author: Kaitlin Fries, DO PGY1Doctors Hospital Originally Published: Modern Resident, December 2015/ January 2016 Lithium is often a first line treatment for bipolar disorder and major depressive disorder, and is commonly present on many emergency department patients’ medication lists. Studies have shown that as many as 75-90% of patients taking lithium long-term develop toxicity at […]
• Synthetic Cannabinoids, a NEW Problem

  Image Credit: Image from Lance Cpl. Damany S. Coleman This post was peer reviewed.Click to learn more.    Author: Nishma Sachedina, MD    Emergency Medicine Resident    University of Chicago    AAEM/RSA Publications Committee Member In the 1980s, scientists developed synthetic cannabinoids as a means to study the endocannabinoid system.[1,2] While some earnest chemists characterized […]
• Diphenhydramine Overdose in the ED

  Image Credit: Flickr Andrew Ranta Author: Kaylinn Dokken, OMSIVWestern University of Health Sciences You are just at the beginning of your shift when paramedics call in and notify you that they are bringing in a 35 year old female who reports that she took 3,000 mg of diphenhydramine in a suicide attempt. Her BP is […]

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