AMCT Toxicology Visual Pearls: Mushroom Mania

mushroom poisoning amanita muscariaAfter eating the mushroom pictured, a 15-year-old patient arrives to the emergency department agitated, diaphoretic, and hallucinating, and then acutely becomes more somnolent and less responsive. Which neurotransmitter systems are affected by the toxins contained in this mushroom?

  1. Acetylcholine and histamine
  2. Dopamine and norepinephrine
  3. Gamma-aminobutyric acid (GABA) and N-methyl-D-aspartate (NMDA)
  4. Glycine and serotonin

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2019-08-06T22:32:01-07:00

SAEM Clinical Image Series: Rash After a Sore Throat and Ibuprofen Use

Rash

[Click for larger view]

Chief complaint: Rash

History of Present Illness: The patient is an 18 year-old male who presents with a rash that appeared 7 days ago. The rash is located on his torso, back, and lower lip. It is pruritic. Three days prior to the appearance of the rash, he had a sore throat and intermittently took ibuprofen over the ensuing 3 days. He stopped taking ibuprofen 4 days after his sore throat abated. He denies any fever, nausea, vomiting, shortness of breath, chest pain, abdominal pain, diarrhea, extended travel in the past year, sick contacts, new soaps/detergents, insect bites, chemical exposure, and new foods.

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2019-07-28T21:17:29-07:00

Guideline Review: ACEP 2018 – ED Procedural Sedation with Propofol

ed procedural sedation with Propofol

The last American College of Emergency Physicians (ACEP) guideline recommendations regarding the use of propofol for ED procedural sedation was in 2007. Much research has since demonstrated its safety in adults and children. Furthermore, many clinicians are co-administering ketamine or fentanyl in conjunction. This 2018 ACEP update​1​ addresses these issues and much more. The following infographic summarizes the key points.

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2019-04-17T02:11:12-07:00

ALiEMU Capsules 12: Pharmacology of Intracranial Pressure Management

The newest installment in the popular ALiEMU Capsules series is live. This module focuses on the critical care topic of intracranial pressure management. Specific topics include hyperosmolar therapy with mannitol versus hypertonic saline and blood pressure management. Go to the ALiEMU Capsule and take the quiz for your Capsules certificate.

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2019-03-27T08:21:40-07:00

ACMT Toxicology Visual Pearls: Don’t Go Breaking My Heart

The following ultrasound video was obtained in a hypotensive 23 year-old man with a history of drug abuse. What drug of abuse when used chronically is most likely to lead to this ultrasound finding in an otherwise healthy patient?

 

  1. Lysergic acid diethylamide (LSD)
  2. Cannabis
  3. Psilocybin
  4. Cocaine
  5. Opioids

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