Cyanide, Hydrogen Sulfide, Detergent Suicide, and Military Teletoxicology with Dr. Vik Bebarta Join Dan (@drusyniak) &Howard (@heshiegreshie) as they chat with Dr. Vik Bebarta and learn about cyanide infused bacon, hydrogen sulfide, detergent suicide, military teletoxicology and the variety of antidotes and therapies to make you well. Chock full of smoky goodness, this is a […]
Tox and Hound – Narcan’t
by Sarah Shafer You’re taking care of a 4-year-old who got into some medication. His pupils are small, his heart rate is slow, and he’s more drowsy than a resident at a late night party. Toxidrome fluent, you give him a slug of naloxone . . . and . . . nothing happens. […]
Tox and Hound – Dialyze This
by Diane Calello Dialyze This – Extracorporeal Removal Techniques for the Poisoned Patient Case A 26-year-old woman presents with palpitations after intentionally ingesting 180 tablets (36 g) of caffeine in a suicide attempt. Her triage vitals are notable for a HR of 160 bpm, and BP of 92/60 mmHg. During your initial evaluation, she […]
Tox and Hound – No Lessons Learned
by Dan Rusyniak I will admit when I thought about my next Tox and Hound post, I had no idea what I was going to write on. Normally, I get my ideas from a recent case, a resident talk, the bathroom stall, or a suggestion from one of our readers. But this time, […]
Tox and Hound – Dependence Isn’t Addiction, But It’s Still A Problem
by David Juurlink We need to talk about dependence—specifically, what it is, what it isn’t, and why it matters. Dependence isn’t the same as addiction Dependence is a special type of drug-related harm. It’s an adaptive phenomenon resulting from exposure to a centrally-active drug and defined by the development of withdrawal symptoms […]