Toxicology Pearls from the 2019 North American Congress of Clinical Toxicology

Today’s pearls are some of the high points from the recent NACCT conference tweeted out by Mike O’Brien @MikeEMPharmD

Timely toxicology tweets and treatment tips
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Capsaicin for Cannabinoid Hyperemesis Syndrome

Today’s pearl is a nontraditional treatment for nausea/vomiting in patients with Cannabinoid Hyperemesis Syndrome.

An easy and topical option for patients with symptoms refractory to normal therapies
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Duration of CPR After tPA in a Cardiac Arrest secondary to PE – Update

Today’s pearl is an update about the amount of time to continue a code following the administration of alteplase.

Are the European guidelines in line with current practice?
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Timing of Basal Insulin Administration in Patients with DKA

Today’s pearl is about the potential benefits of administering basal subcutaneous insulin early for patients with diabetic ketoacidosis (DKA) requiring an insulin infusion

Is earlier better? 
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Sodium Content of ED Antibiotics

Today’s pearl is about how much sodium is contained in each dose of the commonly used antibiotics in the emergency department.

Many of the antibiotics we use on a daily basis in the emergency department contain a surprisingly high sodium load that may be clinically significant for some patients.
Continue reading “Sodium Content of ED Antibiotics”