For those who could not make it to VMR, we went over a truly sick calcium channel blocker overdose case. If not, here’s a quick rundown, and a link to the slides. Briefly, the case was a 17-year-old female who reportedly overdosed on 60 m…
Case: 37-year-old M presenting with obtundation and possible seizure-like activity after a large overdose of sustained-release bupropion (Wellbutrin XL), gabapentin, and other unknown medications. Given the severity of this patient’s…
Activated Charcoal: A Quick Summary of a Summary inspired by Dr. Ahra Cho With all the Tox VMRs going on, we often turn to activated charcoal as a method of decontamination, but we don’t often talk about how exactly activated charcoal…
Case Summary: 22 y/o M no pmh p/w painless jaundice x 5 days in the setting of recent febrile illness 1 week prior and taking Tylenol 1g q6h for several days. Physical exam was positive for jaundice, otherwise normal. Notable lab findings i…
What do smack, dragon, horse, salt, brown sugar, china white, and black pearl have in common? That’s right… they are all nicknames for heroin. We all know that Naloxone (Narcan) is a useful antidote in overdose, however appropriate dosing a…
ED physicians need to be comfortable with the various modalities of opioid substitution therapy (OST) and their associated complications. We are all familiar with the patient who has missed a daily dose of methadone on the way to booking a…
At the request of department leadership, we will be revisiting methods of gastric decontamination for today’s pearl. Two methods in particular. Ipecac-induced emesis and gastric lavage are two procedures that we read about in medical…
