Tag Archives: toxicology

Intentional Overdose

Hx: A 55 yo man presents after an intentional overdose. He is transported by EMS after his family found him poorly responsive with an empty bottle of tramadol. When paramedics arrived the patient was groggy but able to answer questions. He had a bottle for 350 tramadol 50mg tablets that was filled 2 weeks ago, now empty. He admitted to

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Inhalation Injury

Hx: A male in his 20’s is working when he mixes lime away and bleach in a bottle. He then breathes some of the resultant gas and becomes short of breath, develops an intractable cough, and his co-workers call EMS. He is given a single albuterol nebulizer treatment on the way to the hospital along with supplemental oxygen by non-rebreather

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Palpitatons and Tremors

Hx: 25 yo female presents with 12 hours of worsening palpitations, muscle rigidity in the thighs, and tremors of the hands. She denies any fever, strenuous exercise, drug abuse, or alcohol use. She also denies any recent illnesses or procedures. Her medical history includes depression for which she takes Cymbalta, asthma for which she uses an albuterol inhaler, and low back pain

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The Carfentanil Crisis

In the past 3 years, the quantity of synthetic opioids smuggled into the United States has increased. Synthetic opioids are primarily fentanyl analogues. Law enforcement believes that these drugs are arriving form Mexico and China due to the reduced costs of synthesis compared to traditional opiate (heroin) manufacturing. Most alarming is the increase in the number of opioid overdose related

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