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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Ms4 Infographic - Beta Blocker Toxicity

April 13, 2024

If you’ve taken care of a person who overdosed on beta blockers, the slower their heart rate is the faster yours goes. Here, we review the management of patients presenting with this syndrome to block some of that beta-adrenergic overload you may experience.

Katrina Hansen-Artache, MS4

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In Toxicology Tags Pharmocology, Toxicology
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Source: Photo by Marcelo Leal on Unsplash

The Cheese - Opioid Withdrawal Treatments and Adjuncts in the ED

February 22, 2024

Picture this: it’s 11:02pm on a Friday Night. Red Team is bed-locked and you’re doing your best hospitalist impression while managing all of the boarding patients. The nurse comes up to you and says, “Hey, this patient in bed 26 is endorsing heroin withdrawal, can we give them something for it?” What’s your next move? Here we discuss the treatment of opioid withdrawal in the emergency department. 

Vladimir Bernstein, MD

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In Social EM, Toxicology Tags Pharmocology
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Source: Image by Freepik

The Toxic Shelf - 5 Dangerous Social Media Challenges: Know the Risks and Stay Safe

December 1, 2023

In today's digital age, social media has brought us closer together but has also given rise to new and potentially life-threatening challenges. From the seemingly harmless to the shockingly dangerous, let's debunk myths, explore toxidromes and symptom presentations, understand the pathophysiology, and discover treatments for five alarming social media challenges. Let’s communicate with patients and emphasize why these challenges are truly dangerous!

Vishal Mittal, MD & Steve Aks, MD

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In Toxicology Tags The Toxic Shelf, Toxicology
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