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Early Bird Catches The Burn: Hydrofluoric Acid Treatment

Early Bird Catches The Burn: Hydrofluoric Acid Treatment

by Nicole Mathies | Jan 14, 2021 | Featured, Occupational Health, Toxicology

Case Presentation A 30-year-old male presents to urgent care with a complaint of excruciating pain in his left hand. He is a gardener, and earlier that day had been mixing a solution of pesticides. He had been wearing gardening gloves to open the solutions, including...
Efficacy of Gabapentin for the Treatment of Alcohol Use Disorder in Patients With Alcohol Withdrawal Symptoms: A Randomized Clinical Trial

Efficacy of Gabapentin for the Treatment of Alcohol Use Disorder in Patients With Alcohol Withdrawal Symptoms: A Randomized Clinical Trial

by Hans Rosenberg | Oct 5, 2020 | Addictions, Journal Club, Toxicology

Methodology: 3/5 Usefulness: 2/5 Anton RF, et al. JAMA Intern Med. 2020 Mar 9;180(5):1-9.  Question and Methods: Blinded randomized control trial comparing gabapentin to placebo in reducing the number of heavy drinking days in alcohol use disorder treatment. Findings:...
Distilling it Down Part I: Alcohol Withdrawal in the ED

Distilling it Down Part I: Alcohol Withdrawal in the ED

by Michael Wong | Aug 13, 2020 | All Posts, Critical Care, Featured, psychiatry, Toxicology

In Ontario, Canada, alcohol-related ED visits have increased 4.4x faster than the overall increase in visits from 2003-2016, and was responsible for more admissions than heart attacks in 2016. In part 1 of this 2-part series, we will discuss tips for the diagnosis and...
Let’s talk about some drugs

Let’s talk about some drugs

by Shahbaz Syed | Jun 11, 2020 | Featured, Grand Round Summaries, Resuscitation, Toxicology

Here, we seek to explore some controversial, poorly known, or irrelevant drugs in medicine in a menagerie of drug cocktails. 1. What drugs best treat SVT? A patient presents with the following rhythm strip, they’re totally stable, on no medications and with no...
E-cigarette and Vaping Associated Lung Injury (EVALI)

E-cigarette and Vaping Associated Lung Injury (EVALI)

by Harrison Carmichael | Nov 28, 2019 | Featured, Grand Round Summaries, Respirology, Toxicology

You may have seen the headlines; E-cigarette and Vaping Associated Lung Injury (EVALI) represent a new disease process that is potentially life-threatening. Emergency Physicians will inevitably be exposed to EVALI as front line health care providers. Here, we will...
Inhalation Injuries and Toxic Industrial Chemicals

Inhalation Injuries and Toxic Industrial Chemicals

by Richard Hoang | Aug 29, 2019 | Airway, Featured, Toxicology, Trauma

Patients with both burn and inhalation injuries have significantly increased morbidity and mortality compared to those with just burn injuries alone, as there are multiple toxic industrial chemicals that act on the respiratory tract. In this post, we review...
Opioid Clinical Update: Surviving Canada’s Crisis in the ED

Opioid Clinical Update: Surviving Canada’s Crisis in the ED

by Thara Kumar | Sep 14, 2017 | Grand Round Summaries, Toxicology

Opioid and narcotic abuse has been a problem in Canada for some time, but nothing compares to the rapid sweep of opioid-related deaths and hospitalizations that have occurred over the past 2-3 years. While at one time, this problem was limited to a few pockets on the...
Are You Afraid of the Dark? Suboxone and Methadone in the ED

Are You Afraid of the Dark? Suboxone and Methadone in the ED

by EMottawa | Jul 7, 2016 | Grand Round Summaries, Toxicology

Although methadone and suboxone (buprenorphine/naloxone) have tremendous benefits in the management of opioid use disorder, unfamiliarity with these treatments can make any clinician uncomfortable and can lead to substandard care for these patients. This summary will...
Opioid Addiction and Death: Are we the Problem?

Opioid Addiction and Death: Are we the Problem?

by EMottawa | Jun 9, 2016 | Grand Round Summaries, Toxicology

There has been increased publicity and recognition of the hazards associated with opiate use and addiction in recent years, and despite this enhanced recognition, complications from opiate use are continuing to rise. This summary will highlight the opioid epidemic and...
Alcohol: Beyond the “Breakfast Plan”

Alcohol: Beyond the “Breakfast Plan”

by EMottawa | Dec 18, 2015 | Grand Round Summaries, Toxicology

Acute alcohol intoxication and alcoholism are two separate and unique entities that we see regularly in the emergency department. As ER physicians, our role for the acutely intoxicated patient should focus on ruling out life threatening disease and ensuring their...
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