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Background Bupropion ingestions are one of the scarier poisonings due to a relatively narrow therapeutic index and the numerous adverse effects that may occur. Medical toxicologist Dr. Dan Rusyniak details...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background A previous ALiEM post from 2013 by an EM pharmacist colleague argued the case against one-time vancomycin doses in the ED prior to discharge. The take-home points from this...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background Rapid and precise control of blood pressure is vital for patients with a hypertensive emergency or an acute stroke. Commonly, nicardipine is utilized in these situations, with nitroprusside being...
Mike O'Brien, PharmD |
Droperidol is safe and effective for the treatment of severely agitated patients in the ED [1-3]. But what about its use for agitation in elderly patients specifically? Droperidol Efficacy Two...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Background There are three primary fluids used for resuscitation, each contains varying amounts of potassium per liter (Table 1): 0.9% Sodium Chloride (normal saline) Lactated Ringer’s solution Plasma-Lyte A Additionally,...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
A 15-year-old male presents symptomatic several hours after inhaling spores of this mushroom as a home remedy for epistaxis. What is the presentation and pathophysiology of the toxic syndrome associated...
Bryan Ross, MD |
A patient bitten by the pictured creature with the pictured lesion should be screened for which pathology? Acute liver failure Ascending paralysis Hemolysis Meningitis Myocarditis
Michael Simpson, MD |
In the continued fight against COVID-19, a January 22, 2021 press release from the Montreal Heart Institute touted the potential of colchicine, citing results from the COLCORONA trial [1, 2]....
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
The 2020 ACLS guidelines provide recommendations on the medication-specific management recommendations for toxicology [1]. Although the name of the guidelines emphasize they are ‘Advanced,’ these are still relatively basic toxicology...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
The 2020 ACLS guidelines provide recommendations on the medication-specific management for arrhythmias including wide-complex tachycardia, regular narrow-complex tachycardia, atrial fibrillation/flutter, and bradycardia [1]. There are also our 2020 ACLS guideline...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
The 2020 ACLS Guidelines were published in October 2020 [1]. This first of 3 blog posts will focus on vasopressor and non-vasopressor medications during cardiac arrest. Part 2 will focus...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Which component of the pictured plant is the cause of gastrointestinal symptoms when ingested? Histamine Lectins Oxalates Ribosomal inhibiting proteins Saponin glycosides
Caitlin Baldwin, DO |
A major development in curbing the opioid epidemic is the introduction of the medication buprenorphine to address opioid addiction. Being able to prescribe this medication, however, requires a special DEA-X...
Michelle Lin, MD |
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