There is a seemingly endless number of inborn errors of metabolism, and many of these children can present acutely to the emergency room. As emergency medicine physicians, we may not be experts in each of these diseases - but we still need to know how to resuscitate and care for these patients. Below is a general outline on how to approach most inborn errors of metabolism and general guidelines for resuscitation (besides the usual ABCs, IV, O2, monitor).
Admittedly not so much a “basic” concept, but this does bring me back to textbooks and medical school. Having seen this recently in a real patient, thought it was useful to review. Highlights the importance of a good medication reconciliation!
MAOI + tyramine tyramine reaction hypertensive urgency/emergency
With several anticoagulants now on the market, one needs to be well versed in the various reversal options in the setting of lifethreatening bleed (or if supratherapeutic on coumadin). Here's your quick review.