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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.
As an added feature, on this page you can also view highly recommended articles highlighted by our physician editor D. Scott Cunningham, MD, PhD and clinical pearls from the Internal Medicine Physician Review.
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Articles
Latest Full Text Articles (21)841 The first account of a bite by the New Zealand native spider Trite planiceps (Araneae: Salticidae) New Zealand Medical Journal, May 26, 2010
842 Myocarditis following katipo spider bite New Zealand Medical Journal, May 26, 2010
843 Severe Leukoencephalopathy Following Acute Oxycodone Intoxication Neurocritical Care , May 26, 2010
844 Carbon monoxide poisoning associated with Narghile use Emergency Medicine Journal, May 25, 2010
845 Cardiac Stunning: An Infrequent Phenomenon with Unclear Etiology Full Text Clinical Geriatrics, May 24, 2010
846 Herbal extracts as hepatoprotectants against acetaminophen hepatotoxicity Full Text World Journal of Gastroenterology, May 24, 2010
847 Comparative Hemodynamic Effects of Levosimendan Alone and in Conjunction with 4-Aminopyridine or Calcium Chloride in a Model of Severe Verapamil Poisoning Journal of Medical Toxicology, May 24, 2010
848 Bactrian (Double Hump) Acetaminophen Pharmacokinetics: A Case Series and Review of the Literature Journal of Medical Toxicology, May 24, 2010
849 Dicoumarol enhances gemcitabine-induced cytotoxicity in high NQO1-expressing cholangiocarcinoma cells Full Text World Journal of Gastroenterology, May 21, 2010
850 Encephalopathy From Lead Poisoning Masquerading as a Flu-Like Syndrome in an Autistic Child Pediatric Emergency Care, May 21, 2010
851 Glutathione transferase omega 1-1 (GSTO1-1) plays an anti-apoptotic role in cell resistance to cisplatin toxicity Carcinogenesis, May 20, 2010
852 Fluticasone and Food Allergen Elimination Reverse Sub-epithelial Fibrosis in Children with Eosinophilic Esophagitis Digestive Diseases and Sciences, May 18, 2010
853 Polyuria, Acidosis, and Coma Following Massive Ibuprofen Ingestion Journal of Medical Toxicology, May 17, 2010
854 Massive Ethylene Glycol Ingestion Treated with Fomepizole Alone Journal of Medical Toxicology, May 14, 2010
855 Extracorporeal Removal Techniques for the Poisoned Patient: A Review for the Intensivist Journal of Intensive Care Medicine, May 14, 2010
856 Neurophysiological findings in patients 1 year after snake bite induced neurotoxicity in Sri Lanka Transactions of the Royal Society of Tropical Medicine and Hygiene, May 14, 2010
857 Snake bite in Chittagong Division, Bangladesh: a study of bitten patients who developed no signs of systemic envenoming Transactions of the Royal Society of Tropical Medicine and Hygiene, May 13, 2010
858 Effects of a community intervention to reduce the serving of alcohol to intoxicated patrons Addiction, May 12, 2010
859
Acute Myocardial Infarction During Infusion of Liposomal Doxorubicin for Recurrent Breast Cancer
The Breast Journal, May 7, 2010
Exclusive Author Commentary
860 Clinical Profile and Outcome of Aluminum Phosphide-Induced Esophageal Strictures Journal of Medical Toxicology, May 7, 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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