The Urine Drug Screen (UDS) is a commonly used test in the emergency department, however there are many shortcomings that limit its diagnostic utility. The Urine Drug Screen is exactly that – a SCREENing and not a confirmatory test! This week Dr. Lauren Murphy educated us on: 1) the potential false positives and negatives of the UDAS and 2) the detection times that drug metabolites are at a concentration in the urine to trigger a positive result (cutoff value). Read ahead for the reference tables!
After the awesome RESUS/EM conference last week, we return to our module of the month: Toxicology. This week Dr. Lauren Murphy has summarized the key points of her talk on the toxic alcohols. Knowing a little bit about toxic alcohol ingestion is very useful, as it is a fatal toxicity but treatable when recognized in a timely manner!
Interesting case of a cyanotic patient lately? Looking for good questions to pimp medical students or residents with (had an attending in residency who always loved to ask about way he only recommended pyridium for use for a couple of days for UTI symptoms)? Studying for boards? Below are some teaching points on methemoglobinemia.
Education for all EM providers about the ongoing opioid epidemic is paramount. This week during conference a member of the DEA educated us on the opioid epidemic and discussed some strategies and initiatives for prevention. Read ahead for the highlights:
As the weather becomes nicer, more people are venturing outside to work on their yards, hike and just take in the sun - and hence, more people are becoming exposed to poison ivy, oak, and sumac. Learn the basic management for toxicodendron dermatitis.
Acetaminophen (Tylenol, Paracetamol, APAP) is a commonly used analgesic and antipyretic agent found in many over the counter and prescription medications. It is one of the most common toxic exposures responsible for an estimated 450 deaths annually in the United States, and it is the most common cause of acute liver failure in the United States.