ACMT Toxicology Visual Pearl: Hypertension and Rash
Which toxic exposure can present with the pictured rash along with hypertension and tachycardia mimicking pheochromocytoma? Arsenic Lead Mercury Silver Thallium
Michael Semple, DO |
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- 061
- 061 Galicia
- 1-1-2
- 11 Febrero
- 112
- 118
- 120 seconds
- 1440 Doctor
- 15 lead ECG
- 1500 method
- 17 mitos mas #populares
- 1st diagonal occlusion
- 1st Trimester Pregnancy
- 2 Minute Rule
- 2-Hour Rule Outs
- 2013
- 2013 EMS World Top Innovation Award
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2019 ACLS Update
- 2019 PALS Update
- 2020
- 2º Edición
- 3 PASITOS
- 300 method
- 3d printing
- 3rd Degree AV Block
- 4% rule
- 4F-PCC
- 5 C's Model
- 5-FU
- 6 Tips To Beat Jet Lag
- 60-Second Soapbox
- 65 Trial
- 68W
- 7 sign
- 9-1-1
- 9-1-1 Republica Dominicana
- 911
- ; LAVADO DE MANOS
- @cambridge_uni
- @CIAMTO.ORG
- @mmimicro_inc
- @PennHealthTech
- @PennMedicine
- @SUBiodesign
- @tu.muenchen
- AA
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- aaem
- AAP
- ABC
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- ABCD2
- ABCD2 Score
- abdominal aortic aneurysm
- abdominal compartment syndrome
- Abdominal Pain
- abdominal POCUS
- abdominal stab wound
- abdominal trauma
- ABG
- Abixaban
- abixiban
- abortion
- Abscess
- absorbable sutures
- absurdo
- abusive head trauma
- ABUSO MEDICAMENTOS
- Abuso Sexual Infantil
- AC separation
- Academic
- academics
- Accelerated Diagnostic Protocol
- Acceso Vascula
- acceso vascular
- access block
- Accident Prevention
- accidente
- Accidente de Buceo
- ACCIDENTE DE TRAFICO
- accidentes
- Accidentes de Moto
- ACCIDENTES EN EL HOGAR
- accidentes infantiles
- accountability failure
- ACE Inhibitor
- ACE-I
- ACEP
- ACEP 2016
- ACEP 2017
- ACEP 2018
- ACEP Clinical Policy
- ACEP E-QUAL
- acep guidelines
- ACEP17
- ACEP18
- ACEP2018
- acetaminophen
- acetaminophen overdose
- acetaminophen vs. hydromorphone
- Acetazolamide
- Acetyl
- Achiko
- acid-base
- acido acetico
- Acido Folico
- Acido Traxenamico
- acidosis
- ACL
- ACLS
- ACLS 2010
- ACLS 2015-2020
- ACLS gudielines
- ACMT
- ACMT Visual Pearls
- acne
- ACOEP 2017
- ACREDITACIONES DEL BLOG
- Acryl
- ACS
- ACTION Trial
- Activ-4b Trial
- activated charcoal
- Active Shooter Incidents
- Activity and Recovery Among Youth With Concussion: A Meta-analysis.
- ACTS
- ACTT
- ACTT-1
- actuaciones altas temperaturas
- Acute Angle Closure Glaucoma
- Acute Appendicitis
- Acute Chest Syndrome
- Acute Coronary Syndrome
- Acute Decompensated Heart Failure
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- acute heart failure
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Are Thrombolytics Safe for Acute Ischemic Strokes in Patients on DOACs?
Background Direct-acting oral anticoagulants (DOACs), including apixaban, rivaroxaban, edoxaban, and dabigatran, are widely used for various indications and considered first-line therapy for prevention of acute ischemic stroke in patients with...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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ACMT Toxicology Visual Pearl: Sink or Swim
What type of Mothball floats in both water and saturated salt solution? Camphor Naphthalene Paradichlorobenzene Sodium Hypochlorite
Elzada Sercus, MD |
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Extracorporeal Treatment Options in Poisoned Patients
Background Caring for a patient that is critically-ill secondary to a toxic ingestion is complicated and, in severe cases, extracorporeal treatments (ECTRs) may be considered. The most commonly used ECTRs...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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Oral Antivirals for Treatment of Mild-Moderate COVID-19 Infection
Background Two new oral agents were given Emergency Use Authorization to be used in patients with mild-moderate COVID-19 at high risk of progression to severe infection, molnupiravir and nirmatrelvir/ritonavir (Paxlovid)...
Mike O'Brien, PharmD |
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Balanced Fluids in Diabetic Ketoacidosis
Background Many guidelines and treatment algorithms for diabetic ketoacidosis (DKA) recommend sodium chloride 0.9% as the replacement fluid of choice, though alternative fluids may be a better option [1-4]. Randomized...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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Simplified Dosing Scheme for DigiFab® in Acute Digoxin Poisoning
Background Treatment of digoxin toxicity can be quite complex and generally involves the use of digoxin immune Fab (DigiFab®) for symptomatic patients. The dosing of DigiFab can vary depending on...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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Breaking the Cycle: ED Management of Cannabinoid Hyperemesis Syndrome
What is cannabinoid hyperemesis syndrome? Cannabinoid hyperemesis syndrome (CHS) is a condition in which patients who have been using cannabis or synthetic cannabinoids for a prolonged period of time develop...
Jason Elzinga, MD |
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Succinylcholine and the Risk of Hyperkalemia
Background Succinylcholine is frequently used in the ED to facilitate intubation, but it may be avoided in some cases due to the risk of hyperkalemia. The underlying physiology of this...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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High-Dose Nitroglycerin for Sympathetic Crashing Acute Pulmonary Edema
Background Nitroglycerin (NTG) is an important intervention to consider for patients with Sympathetic Crashing Acute Pulmonary Edema (SCAPE) as it significantly reduces preload, and even modestly reduces afterload with high...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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Beta-Blockers for Inhalant-Induced Ventricular Dysrhythmias
Background There are a few unique scenarios when beta-blockers may be indicated for patients in cardiac arrest. Use of esmolol for refractory ventricular fibrillation was summarized in a 2016 PharmERToxGuy...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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Utility of Nebulized Naloxone
Background Naloxone can be administered via multiple routes, with nebulization gaining popularity in the past decade. A previous ALiEM Trick of the Trade presented this unique method of administration. In...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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ACMT Toxicology Visual Pearl: Questions about green pee? Urine luck!
Which of the following medications is likely responsible for this urine discoloration in an intubated and sedated ICU patient? Fentanyl Ketamine Lorazepam Midazolam Propofol
Clare Gunn, MD |