EMERGENCY MEDICINE

Alkalis and Acids

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Alkalis and Acids

HIGH-YIELD FACTS Print Section Listen Asymptomatic children with a history of alkali or acid ingestion should be observed for a few hours and may be discharged from the emergency department…

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Isoniazid

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Isoniazid

HIGH-YIELD FACTS Print Section Listen Isoniazid (INH) toxicity should be considered in any patient with metabolic acidosis and seizures refractory to conventional therapy. Altered sensorium, slurred speech, ataxia, coma, and…

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Alcohols

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Alcohols

HIGH-YIELD FACTS Print Section Listen Ethanol overdose in children may result in altered mental status and hypoglycemia. Methanol poisoning is manifested by metabolic acidosis, visual disturbance, and potential multiorgan system…

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Oral Anti-Diabetic Agents

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Oral Anti-Diabetic Agents

HIGH-YIELD FACTS Print Section Listen Oral anti-diabetic drugs function by either increasing insulin secretion or by modulating blood glucose concentrations through a variety of mechanisms other than the increase of…

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Psychotherapeutic Drugs

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Psychotherapeutic Drugs

HIGH-YIELD FACTS Print Section Listen The key targets of antidepressant and neuroleptic poisoning are the cardiovascular and central nervous systems (CNS). Tricyclic antidepressant (TCA) poisoning is potentially life-threatening due to…

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Thyroid Hormones

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Thyroid Hormones

HIGH-YIELD FACTS Print Section Listen Acute ingestions are generally benign but may be delayed in onset (2–4 days). Ingestions of greater than 5 mg warrant measurement of T4 concentration at…

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Acetaminophen

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Acetaminophen

HIGH-YIELD FACTS Print Section Listen Widely available in both prescription and OTC products, acetaminophen is a common pediatric overdose. Acetylcysteine is the antidote for acetaminophen overdose and can be given…

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Iron Poisoning

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Iron Poisoning

HIGH-YIELD FACTS Print Section Listen Estimation of risk of iron poisoning is based upon conversion of the ingested iron salt to elemental iron with >60 mg/kg being associated with significant…

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Cardiovascular Drugs

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Cardiovascular Drugs

HIGH-YIELD FACTS Print Section Listen β-Blocker and calcium channel blocker poisoning have significant morbidity, and their hallmark is bradycardia and hypotension. If standard Pediatric Advance Life Support (PALS) protocols do…

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Sedative Hypnotics and Anticonvulsants

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Sedative Hypnotics and Anticonvulsants

HIGH-YIELD FACTS Print Section Listen The hallmark of the care of children with sedative hypnotic poisoning is meticulous supportive care with particular attention to the support of airway and breathing….

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