Your patient just ate fish and seems to be having a weird reaction.  Could this be one of those weird marine poisonings?

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: 

Looking for a quick review on snake bites?  As we continue our summer emergencies module, Dr. Michael Coletta educated us on snake envenomations, treatment options and resources.  Continue reading 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. 

These are the need-to-know EKG findings found in tricyclic antidepressant (TCA) toxicity.

Looking for some practical opioid pearls for your clinical practice?  This week Dr. Eric Gruber continued the Cooper EM generated Substance Abuse Curriculum, focusing on opioid toxicities and overdose complications.  

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.

This article intends to focus on a particular aspect of the pathophysiology of salicylate toxicity which is correctable, can improve mental status, and potentially stave off intubation: hypoglycorrhachia.