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Emergency Medicine - Toxicology News & Articles
MDLinx.com is your one stop shop for the latest Emergency Medicine news articles and peer reviewed clinical journal articles categorized daily into various hot topics such as: Trauma, Emergency Medicine Services, Airway/Respiratory management, Toxicology and much more. Not only are we the quickest, writing summaries of every article with 24 hours of publication, but we are also your most efficient resource for up-to-the-minute literature in Emergency Medicine.
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Articles
Latest Full Text Articles (21)821 The Importance of Measuring Intraocular Pressure Using a Tonometer in Order to Estimate the Postmortem Interval American Journal of Forensic Medicine and Pathology, June 8, 2010
822 A Fatal Case of a Paint Thinner Ingestion: Comparison Between Toxicological and Histological Findings American Journal of Forensic Medicine and Pathology, June 8, 2010
823
Pulmonary and systemic toxicity following exposure to nickel nanoparticles
American Journal of Industrial Medicine, June 7, 2010
Exclusive Author Commentary
824 Fatal poisonings in Oslo: a one-year observational study Full Text BMC Emergency Medicine, June 7, 2010
825 Clinical course and outcome of snake envenomation at a hospital in Karachi Full Text Singapore Medical Journal, June 7, 2010
826 Seized methamphetamine samples with unique profiles of stable nitrogen isotopic composition documented by stable isotope ratio mass spectrometry Forensic Toxicology, June 4, 2010
827 Intravenous Voriconazole after Toxic Oral Administration Antimicrobial Agents and Chemotherapy, June 3, 2010
828 Intravenous fat emulsion to reverse haemodynamic instability from intentional amitriptyline overdose Resuscitation, June 3, 2010
829 Abdominal X-ray signs of intra-intestinal drug smuggling Journal of Forensic and Legal Medicine, June 3, 2010
830 Training of Assistant Forensic Medical Examiners in London, UK Journal of Forensic and Legal Medicine, June 3, 2010
831 Local Antivenom Treatment for Ophthalmic Injuries Caused by a Naja atra Journal of Medical Toxicology, June 3, 2010
832 Multiple hymenoptera stings in children: clinical and laboratory manifestations European Journal of Pediatrics, June 2, 2010
833 Lantus insulin overdose: A case report The Journal of Emergency Medicine, June 2, 2010
834 Pharmacotherapy of cholestatic liver diseases Journal of Digestive Diseases, May 28, 2010
835 Treat the patient by the recognized toxidrome when the ingested herbal juice is non-toxic International Journal of Emergency Medicine, May 27, 2010
836 Detection performance of a portable ion mobility spectrometer with 63Ni radioactive ionization for chemical warfare agents Forensic Toxicology, May 27, 2010
837 Fatal nefopam overdose Full Text Emergency Medicine Journal, May 26, 2010
838 The existence of a relationship between increased serum alanine aminotransferase levels detected in premarketing clinical trials and postmarketing published hepatotoxicity case reports Alimentary Pharmacology and Therapeutics, May 26, 2010
839 Benzonatate Ingestion Reported to the National Poison Center Database System (NPDS) Journal of Medical Toxicology, May 26, 2010
840 Unilateral blindness with third cranial nerve palsy and abnormal enhancement of extraocular muscles on magnetic resonance imaging of orbit after the ingestion of methanol Emergency Medicine Journal, May 26, 2010
Clinical Pearls in Emergency Medicine
- Appendicitis is the most common pediatric gastrointestinal surgical emergency.
- Drug-eluting stent (DES) placement improves revascularization rates without increased 3-year hazard of adverse clinical outcomes among individuals undergoing emergency primary percutaneous coronary intervention due to ST-segment elevation myocardial infarctions (STEMIs).
- Using an accelerated diagnostic protocol (ADP) with Troponin 1 as the sole biomarker may successfully identify low short-term risk of major adverse coronary event (MACE), and decrease observation time among individuals who present to the ER with chest pain.
Highlights in Emergency Medicine
Procalcitonin and CRP predict identify high-risk children with appendicitis
As published in Pediatric Emergency Care, procalcitonin and CRP levels discriminate between children admitted with a diagnosis of acute appendicitis who may require closer monitoring. The study involved 111 children who were divided into 2 groups based on intra-operative diagnoses of appendicitis (n=69) and peritonitis (n=42). Patients with peritonitis, who were more likely to have complications and require intensive care unit admission, had significantly higher procalcitonin (0.15 vs. 4.95 ng/ml) and CRP levels (3 vs. 14.3 mg/dl) on admission than patients with appendicitis. Using a cut-off procalcitonin level of 0.18 ng/ml, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 97%, 80%, 72%, and 89.3%, respectively. Using a cut-off CRP level of 3 mg/dl, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 95%, 74%, 68%, and 96.2%, respectively.
Read the article summaryVomiting during acute stroke increases mortality
As published in the Emergency Medicine Journal, patients who vomit during acute strokes have an increased risk of mortality (HR=5.06). Of 1968 stroke patients enrolled in the study, 1349 had cerebral infarctions, 459 had cerebral hemorrhages, and 152 had subarachnoid hemorrhages; 14.5% of all stroke patients vomited during the acute stage of the stroke (cerebral infarction, 8.7%; cerebral hemorrhage, 23.7%; and subarachnoid hemorrhage, 36.8%).
Read the article summaryAssociation between tight glycemic control and hip fracture in diabetics
As published in the Journal of the American Geriatrics Society, patients with T2DM (mean age, 77.3 y; n=932) with a HbA1c < 6% (OR=3.01) or 6.1-7% (OR=2.34) are more likely to sustain a hip fracture than patients with a HbA1c > 8%. All patients had a HbA1c level determined within 3 months preceding the hip fracture. No differences in risk existed between patients treated with oral hypoglycemics or insulin.
Read the article summaryMost Popular Emergency Med Articles
Last month's top read Top Articles of 20121 Patterns of cyanide antidote use since regulatory approval of hydroxocobalamin in the United States American Journal of Therapeutics, May 24, 2013
2 Lipid Rescue 911: Are Poison Centers Recommending Intravenous Fat Emulsion Therapy for Severe Poisoning? Journal of Medical Toxicology, May 14, 2013 Review Article
3 Amoxicillin Renal Toxicity: How Often Does It Occur? Pediatric Emergency Care, May 7, 2013
4 Intravenous Lipid Emulsion to Reverse Acute Drug Toxicity in Pediatric Patients Annals of Pharmacotherapy, April 25, 2013
5 Sodium Acetate as a Replacement for Sodium Bicarbonate in Medical Toxicology: a Review Journal of Medical Toxicology, May 2, 2013 Review Article
6 A 9-State Analysis of Designer Stimulant, Bath Salt, Hospital Visits Reported to Poison Control Centers Annals of Emergency Medicine, March 29, 2013 Review Article
7 Syncope Risk Assessment in the Emergency Department and Clinic Progress in Cardiovascular Diseases , March 18, 2013
8 Effectiveness of therapeutic plasma exchange in patients with intermediate syndrome due to organophosphate intoxication The American Journal of Emergency Medicine, May 21, 2013 Review Article
9 Medically Significant Late Bleeding After Treated Crotaline Envenomation: A Systematic Review Annals of Emergency Medicine, April 10, 2013 Evidence Based Medicine Review Article
10 Viper venom-induced oxidative stress and activation of inflammatory cytokines: a therapeutic approach for overlooked issues of snakebite management Inflammation Research, May 23, 2013
11 Characteristics of liver injury in drug-induced systemic hypersensitivity reactions Journal of the American Academy of Dermatology, May 3, 2013
12 Leveraging Social Networks for Toxicovigilance Journal of Medical Toxicology, May 1, 2013 Review Article
13 L-Carnitine for the Treatment of a Calcium Channel Blocker and Metformin Poisoning Journal of Medical Toxicology, May 6, 2013
14 Fatal barium chloride poisoning: four cases report and literature review American Journal of Forensic Medicine and Pathology, May 30, 2013
15 Unintentional Use of Mistaken Insulin Products: A Retrospective Review of Poison Center Data The Journal of Emergency Medicine, May 17, 2013 Review Article
16 Acute Alcohol Intoxication Characteristics in Children Alcohol and Alcoholism , May 2, 2013 Review Article
17 Conservative Therapeutic Approach to Corrosive Poisonings in Adults Journal of Gastrointestinal Surgery, May 15, 2013
18 2C or Not 2C: Phenethylamine Designer Drug Review Journal of Medical Toxicology, April 3, 2013 Review Article
19 CT imaging as a prognostic indicator for patients with pulmonary injury from acute paraquat poisoning British Journal of Radiology, May 21, 2013 Review Article
20 Intraperitoneal Elemental Mercury Exposure from a Mercury-Weighted Bougie Journal of Medical Toxicology, April 29, 2013
Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
Other Topics in Emergency Medicine
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