35 results
American Academy of Clinical Toxicology guidelines #Management #EM #Tox #Methanol #Poisoning #Algorithm #Fomepizole #ToxicAlcohol #ALiEM
Academy of Clinical Toxicology ... guidelines #Management ... Methanol #Poisoning #Algorithm ... #ToxicAlcohol #ALiEM
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
blockers which cause ... QRS #widening #ECG ... #EKG #Pharmacology ... #Medications #Toxicology ... Differential #Drugs #Classes
Toxic Alcohol Ingestion: Methanol
Solvent found in cleaning and printing solutions, adhesives, stains, paint removers,
antifreeze agent in
gasoline additive Pharmacology ... , but does NOT cause ... #Diagnosis #Management ... #Toxicology #Methanol ... #Ingestion #ALiEM
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... electrolytes, CXR, ECG ... thyroid, MRI, toxicologic ... AlteredMentalStatus #Delirium #Management ... #Algorithm
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Differential Diagnosis Algorithm ... dissociation) • Pharmacologic ... (e.g Opioids, Alcohol ... • Botulism Pharmacologic ... #Causes #Ophthalmology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... Salicylate Level: 150mg/kg ... Management: ... Aspirin #Toxicity #Toxicology
Toxic Alcohol Ingestion: Isopropyl Alcohol
General concepts for toxic alcohols:
• Parent compounds (not metabolites) cause high osmolal
not metabolites) cause ... to lactate --> causes ... #Diagnosis #Management ... #Toxicology #Isopropyl ... Alcohol #Ingestion #ALiEM
Naloxone - Toxicology

Adult starting dose:
 - 0.4 mg IV/IM/IO/SQ for non-opioid dependent patients
 - 0.04 mg
Naloxone - Toxicology ... dose: - 0.1 mg/kg ... search for other causes ... Naloxone #Narcan #Toxicology ... #Management #Pharmacology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Differential Diagnosis Algorithm ... Myasthenia Gravis Pharmacologic ... • Drug Abuse (e.g ... #causes
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
and Inotropes - Pharmacology ... • Higher doses cause ... cAMP/cGMP • Causes ... Vasopressors #Inotropes #Pharmacology ... #Summary #management