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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Which toxic exposure can present with the pictured rash along with hypertension and tachycardia mimicking pheochromocytoma? Arsenic Lead Mercury Silver Thallium
Michael Semple, DO |
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 |
What type of Mothball floats in both water and saturated salt solution? Camphor Naphthalene Paradichlorobenzene Sodium Hypochlorite
Elzada Sercus, MD |
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 |
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 |
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 |
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 |
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 |
Antecedentes La succinilcolina se utiliza con frecuencia en el servicio de urgencias para facilitar la intubación, pero en algunos casos puede evitarse debido al riesgo de hiperpotasemia. La fisiología subyacente...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Antecedentes La nitroglicerina (NTG) es una intervención importante a considerar para los pacientes con edema pulmonar agudo por colisión simpática (SCAPE), ya que reduce significativamente la precarga e incluso reduce...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Antecedentes Hay algunos escenarios únicos en los que los betabloqueantes pueden estar indicados para pacientes con paro cardíaco. El uso de esmolol para la fibrilación ventricular refractaria se resumió en...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Antecedentes La naloxona se puede administrar por múltiples vías y la nebulización ha ganado popularidad en la última década. Un truco del oficio anterior de ALiEM presentó este método único...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
¿Cuál de los siguientes medicamentos es probablemente responsable de esta decoloración de la orina en un paciente de UCI intubado y sedado? Fentanilo ketamina Lorazepam Midazolam propofol
Clare Gunn, MD |
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