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La enseñanza tradicional recomienda dosis de naloxona de al menos 0,4 mg IV para revertir la toxicidad de los opioides. Dres. Lewis Nelson ( @LNelsonMD ) y Mary Ann Howland...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
La ceftriaxona es un antibiótico de amplio espectro que se administra frecuentemente por vía intramuscular (IM) en la medicina de emergencia. Sin embargo, estas inyecciones duelen ¡MUCHO! ¿Podemos hacer algo...
Zlatan Coralic, PharmD |
Todos estamos bastante familiarizados con la bolsa de plátano: líquidos intravenosos (IV) con la adición de tiamina, ácido fólico, multivitaminas y, a veces, magnesio. Las bolsas de plátano se utilizan...
Meghan Groth, PharmD, BCPS |
Una mujer de 71 años acude al servicio de urgencias con letargo, fiebre (39,5 C) y taquipnea (RR 28 rpm). Tiene antecedentes de larga data de miastenia gravis (MG), por...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
El ácido valproico se utiliza para una variedad de indicaciones clínicas que incluyen convulsiones, profilaxis y tratamiento de la migraña y trastorno bipolar. Un metabolito del ácido valproico, que se...
Jill Logan, PharmD BCPS |
La intoxicación por monóxido de carbono (CO) puede ser la causa más común de intoxicaciones mortales en todo el mundo. 1 La mayoría de los envenenamientos ocurren en otoño e...
Christina Shenvi, MD PhD |
With several new diabetes medications available, it is important to know which ones are likely to cause hypoglycemia after overdose. Based on mechanism of action and reported cases, the likelihood...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Intravenous beta blockers and non-dihydropyridine calcium channel blockers are recommended first-line for atrial fibrillation (AF) with rapid ventricular rate (RVR) [1]. In a previous post, Bryan Hayes (@PharmERToxGuy) provided an overview...
Brent Reed, PharmD, FAHA |
Prochlorperazine is a commonly used medication in EM. In certain patients prochlorperazine does wonders for migraines, and remains a great antiemetic choice for undifferentiated nausea/vomiting when ondansetron is ineffective. However,...
Zlatan Coralic, PharmD |
Misuse of prescription opioids is one of the defining health problems of our generation. The dramatic rise of opioid analgesic prescriptions in the US and Canada has been well documented,...
Esther Choo, MD MPH |
Iron toxicity is determined by the amount of elemental iron (Fe) ingested. Examples of Fe formulations and the amount of elemental Fe contained in each formulation are listed in the...
David Manthey, MD |
Debriefings in medical simulation are meant to be the bow on top of the gift that is medical simulation. It is the ultimate delicious dessert, served after a grueling dinner...
Nikita Joshi, MD |
Clinical Toxicology has published guidelines for out-of-hospital management of 16 distinct overdoses and their dose thresholds, above which, pediatric patients should be referred to the Emergency Department for evaluation. Clinical Toxicology is the official...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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