Fomepizole in Acetaminophen Poisoning

Sponsored by MTF and Bayer

Sponsored by MTF and Bayer

1. A 62-year-old man and a 59-year-old woman present together with eye burning, conjunctival injection, and decreased visual acuity the morning after attending a family fish fry. 2. A toddler, found with a bottle of crafting material by their mother, presents with drooling and progressive oropharyngeal edema. 3. A 56-year-old man, found altered in his garage, now complains of sudden vision loss after a miscalculated ingestion.

Cardiac Glycosides Poisoning : How to Optimize Digoxin Antibody Use?

Update in Novel Psychoactive Substances (NPS) and Drug Adulteration - Case Discussion

1. A 36-year-old man reports nausea, vomiting, and diarrhea after using an over-the-counter remedy for toothache. 2. A 35-year-old and a 20-year-old are found collapsed in a tanker. The younger patient is pronounced dead on scene and the older patient is transported to the hospital unconscious. He is noted to be covered in a "liquidy black silt." 3. A 62-year-old with end-stage liver disease presents with critical hyperkalemia a week after starting a new medication.

Alcohol Use Disorder – Harm Reduction and Ambulatory Detoxification

1. A 15-year-old girl with depression and recent prior overdose arrives at a local hospital with seizures. An ECG shows a wide QRS (125 ms) with RBBB and QTc 495 ms. 2. A 17-year-old girl is found unresponsive with urinary incontinence next to an empty bottle of an over-the-counter medication. She is intubated by the paramedics. On arrival to the ED her vitals signs are: BP, 118/72 mmHg, P, 117/min; RR, 22/min; T, 97.2F; O2 sat 96%. An ECG is notable for a QRS of 106 msec and a QTc of 560 msec. 3. A 59-year-old HIV-positive man presents to the ED with seizures, shock, and agonal breathing. Fingerstick glucose is undetectable in the field. His vital signs on arrival: BP, 59/35 mmHg; HR, 79/min; RR, 6/min; T, 97.6F; O2 sat, 94%. The patient is intubated and fluid resuscitated.

ACMT members Gillian Beauchamp, MD, and Elizabeth (Elissa) Moore, DO deliver evidence-based medical toxicology core content and trending topics in easily digestible bites. Visit toxinten.com and follow on Twitter @toxinten.

ACMT members Gillian Beauchamp, MD, and Elizabeth (Elissa) Moore, DO deliver evidence-based medical toxicology core content and trending topics in easily digestible bites. Visit toxinten.com and follow on Twitter @toxinten.