ACMT Toxicology Visual Pearl: Out of the Blue
August 16, 2023
Exposure to which of the following could produce the pictured results? Carbon monoxide Lead paint Morphine Oral analgesic gel ...
Rafael Lima, MD
ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On
June 15, 2023
Which cardiotoxic plant is shown? Lily of the valley Moonflower Morning glory Water hemlock White snakeroot ...
Sheila Goertemoeller, PharmD, DABAT, ICPS
ACMT Toxicology Visual Pearl: Marcel the Shell with Toxins
June 7, 2023
The venom from this pictured snail shares a primary mechanism of action with what other deadly toxin? Alpha-latrotoxin Botulinum toxin Bufotoxin Tetanus toxin Sarin ...
Aaron Frolichstein, MD
ACMT Toxicology Visual Pearl: The Black Eschar
June 5, 2023
Which of the following is the most likely explanation for this skin lesion in a worker handling sheep hides? Bacillus anthracis Group A streptococcus Pseudomonas...
Alex Blackwell, MD
Phenobarbital as First-Line Medication for Alcohol Withdrawal: Have You Switched From Benzodiazepines Yet?
June 1, 2023
Are you using phenobarbital instead of benzodiazepines as the first-line monotherapy for patients in alcohol withdrawal in the Emergency Department (ED)? If not, you probably...
T. Alex Rogers, MD
ACMT Toxicology Visual Pearl: Is the Silver Bullet for Refractory Vasoplegia Really Blue?
February 24, 2023
What is the proposed mechanism for the pictured antidote when used as a pressor for refractory vasoplegic shock? Alpha-1-adrenergic agonist Angiotensin II receptor antagonist Nitric...
Parker Hambright, MD
ACMT Toxicology Visual Pearl: Swollen Lips
February 15, 2023
Photo used with permission The following physical finding would be most consistent with exposure to which of the following? Bee sting Household bleach Isopropyl alcohol...
Maha M Farid MBBCh, MSc, PhD
SAEM Clinical Images Series: Hey Doc, Can You Come Look at This Urine?
February 13, 2023
A 4-year-old male with no significant past medical history presents as a transfer from an outside hospital for suspected inhalation burn secondary to a house...
Genette Bergman, MD
Suboxone and the Emergency Physician: Get Waivered Training
August 12, 2022
Clinical scenario: A 56-year-old male with a past medical history of opioid use disorder presents to the emergency department with acute on chronic right lower...
Saishravan Shyamsundar, BS
ACMT Toxicology Visual Pearl: Pretty (and Deadly) in Purple
June 6, 2022
What is the correct antidote for a patient who is poisoned with the pictured substance? Digoxin Specific Fab Hydroxocobalamin/Sodium Thiosulfate Physostigmine Pyridoxine (photo used with...
Charles Harris III, MD
ACMT Toxicology Visual Pearl | Substance-Induced Crystalluria: All That Glitters Is Not Gold
May 6, 2022
Which of the substances below causes crystalluria with hexagonal crystals that shimmer on macroscopic urine examination? Acyclovir Ethylene glycol Indinavir Primidone Sulfamethoxazole/trimethoprim ...
Alex Ponce, PharmD
Interpretation and Limitations of Opiate Urine Drug Tests
April 23, 2022
Background Urine drug tests are commonly sent for patients in the emergency department, however care should be taken when interpreting the results of these tests...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP
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