Tag: toxicology

Morning Report: 1/9/2015

Dr. Waldman presents today’s Morning Report!   AMMONIA TOXICITY   Where can we find ammonia: glass cleaners, toilet bowel cleaners, metal polishes, floor strippers, wax removers, smelling salts, some refrigerants, explosives, pharmaceuticals, pesticides, textiles, leather, flame-retardants, plastics, pulp and paper,…

Hypotension and Bradycardia in the Poisoned Patient

Welcome to the Kings County/SUNY Downstate toxicology blog series. In our first case, we will discuss the differential diagnosis and management of the poisoned patient who presents with hypotension and bradycardia. Case A 23 year old female is brought in…

Morning Report: 12/23/2014

Dr. Youn presents today’s edition of Morning Report!   NEBULIZED NALOXONE Weber, et al. Prehosp Emerg Care, 2mg naloxone nebulized with 3mL normal saline 105 cases- 22% complete response, 59% partial response, 19% no response No adverse events, no intubations…

Rhythm Nation December 2014 – Answer!

This is a tough one and congratulations to the thorough responders. This month’s winner – Dr. Nico Grundmann! To start, TCA ingestion is the most common cause of Na-channel toxicity that we see in ECGs – but this patient was…

Morning Report: 11/11/2014

Thanks to Dr. Muhlfelder for today’s Morning Report!   Inhalant Injuries   Initial Mgmt: ABCs, IV, oxygen supplementation, monitor   Exam: bronchospasm, airway edema, nares +/- thermal injury initial eval of airway is not good predictor of progressing edema/compromise, progresses…

Morning Report: 10/31/2014

Here’s Dr. Ammon with a great Halloween edition of Morning Report!   DELIRIUM TREMENS Most severe form of alcohol withdrawl manifested by AMS (global confusion) and sympathetic overdrive (autonomic hyperactivity).   CHRONIC ETOH -> CNS DEPESSANT -> ETOH-GABA -> inhibitory…