Archive

Medical Category: Toxicology

MDCalc Wars: Alcohol Withdrawal–When CIWA-Ar Breaks Down, mMINDS Score Still Works

CIWA-Ar breaks down when patients can’t participate. mMINDS offers an objective, ICU-ready approach to scoring severe alcohol withdrawal—especially in delirious, intubated, or critically ill patients.

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Toxicology

Treatment for Alcohol Use Disorder

Emergency medicine physicians were trailblazers during the opioid epidemic, and now we have the same opportunity with alcohol use disorder (AUD). Treating AUD deserves the same attention we give to opioid overdose, diabetic ketoacidosis, or hypertensive emergencies. Even when alcohol ...

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Toxicology

Screening for Alcohol Use Disorder

Each year, about 1 in 7 men and 1 in 11 women in the United States meet criteria for alcohol use disorder (AUD)—affecting nearly 29 million people, roughly the entire population of Texas. Patients with AUD face staggering health risks: ...

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Toxicology

REBEL Core Cast 134.0 – Acetaminophen Toxicity

Acetaminophen (APAP) overdose remains one of the most common causes of acute liver failure in the United States. While its therapeutic use is widespread and generally safe, unintentional overdoses and delayed presentations can lead to devastating outcomes. In this episode ...

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Toxicology

REBEL Core Cast 129.0 – Gastric Lavage

Take Home Points Orogastric lavage may still play an important role in treatment of the overdose patient.  Do not perform lavage if the ingestion has limited toxicity at any dose or the ingested dose is unlikely to cause significant toxicity. ...

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Toxicology

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