Toxicology

Critical Cases - CO and Cyanide toxicity!

EMS calls ahead to report a 73 yo female with active CPR in progress after being pulled from a housefire. As you run to prepare you resus room, you wrack your brain for everything you know about smoke inhalation victims. Aren't there some toxicology concerns here? Good thing you read this quick refresher on EMDaily!

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Critical Cases - Methemoglobinemia!

An intubated 32 year old female is brought to the ED in cardiac arrest. Family was suspecting that this was an overdose.\ given a recent hospitalization for acetaminophen overdose. EMS reports that on arrival the patient had a bluish discoloration to the skin, and she is now extrememly pale with the appearance of a cadaver. What could have caused this clinical picture? Read on for a discussion of a very rare but extremely deadly poisoning...

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Critical Cases - Phenytoin overdose!!!

A 55 year old patient presents via EMS reporting a large ingestion of his home oral phenytoin. As you go to evaluate the patient, you consider the clinical manifestations and possible complications of a phenytoin overdose. Is this a serious overdose? Is there a high potential for decompensation and the dreaded tox "seizure/coma/death" triad? Are there effective antidotes? Good thing you read this article!

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