Archive for December 2014

Death after injecting alpha-PVP

December 31, 2014, 3:22 am

smokin slurries scrubba★★★☆☆

Death due to intravenous use of α-pyrrolidinopentiophenone. Sellors K et al. Med J Aust 2014 Nov 17;201:601-3.

Full Text 

α-pyrrolidinopentiophenone (α-PVP) is a synthetic cathinone stimulant with structural similarities to MDPV. Like MDPV, α-PVP contains a pyrrolidine ring, a 5-sided nitrogen-containing component that enables the molecule to effectively block reuptake of dopamine and norepinephrine, with much weaker effects at …

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Nicotine poisoning from an asparagus look-alike

December 29, 2014, 8:15 pm

Baptisia australis

Baptisia australis

★★★☆☆

Baptisia poisoning : A New and Toxic Look-alike in the Neighborhood. Anderson MJ et al. J Emerg Med 2015 Jan;48:39-42.

Abstract

Bastisia australis (blue wild indigo, false indigo) is a prairie plant found throughout the eastern, midwestern, and southern United States. It contains cytisine, an alkaloid that acts as an agonist at nicotinic acetylcholine receptors.…

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Deaths and severe toxicity at an electronic dance-music festival in NYC

December 23, 2014, 4:33 pm

ecstasy pills

ecstasy pills

★★★☆☆

Illnesses and Deaths Among Persons Attending an Electronic Dance-Music Festival — New York City, 2013. Ridpath A et al MMWR 2014 Dec 19;63:1195-1198.

Full Text

When we last reported on the deaths of 2 young people at the New York City’s Electric Zoo Festival in 2013, the investigation into these incidents had just begun and the results …

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Tox Tunes #91: I Can’t Stand It (Memphis Jug Band)

December 22, 2014, 12:29 am

What are you gonna do when your troubles get like mine
Take a mouthful of sugar and drink a bottle of turpentine

The Memphis Jug Band recorded in the 1920s and 1930s with an ever-changing lineup of musicians and instruments, usually including a liquor jug to provide the bass line. The 1960s blues-rock band Canned Heat obviously borrowed from this …

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Saturday with SMACC: Scott Weingart on Cutting Edge Intra-Arrest Care

December 20, 2014, 3:03 pm

The main theme of this extremely thought-provoking talk by Scott Weingart (@emcrit) is that CPR should not be limited to the cookbook algorithms taught in the American Heart Association’s ACLS course. Scott argues that ACLS teaches what can be done easily, not necessarily what’s needed to achieve an optimal outcome. He covers everything from the laryngeal mask airway to …

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Surely the NEJM could do a better review of delirium tremens

December 17, 2014, 10:25 pm

delirium_tremens_label_2★★½☆☆

Recognition and Management of Withdrawal Delirium (Delirium Tremens). Schuckit MA. N Engl J Med 2014 Nov 27;371:2109-2113.

No abstract available

This is an amazingly inept paper, even by the traditionally low standards of the New England Journal‘s  “Review Article” section. It was written by a psychiatrist who — on the basis of this piece — seems not to …

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Patient complains of bugs on her skin — could it be tox?

December 13, 2014, 1:45 pm

★★½☆☆

Case 37-2014: A 35-Year-Old woman with Suspected Mite Infestation. Beach SR et al. N Engl J Med 2014 Nov 27;371:2115-2123.

No abstract available

This case — part of the Journal‘s “Case Records of the Massachusetts General Hospital” series — describes a 35-year-old woman had presented to the emergency department complaining of a parasitic skin infection:

“During the 10 days

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Tox on the Web: deadly cocaine/fentanyl combination, the rising price of naloxone, and more

December 8, 2014, 12:53 am

 

Cocaine/Fentanyl Kills 3 in North Carolina: WTVD-ABC Eyewitness News in Raleigh, North Carolina reports that 3 people local Chatham County died over the weekend — and another 6 were taken to hospital — after using cocaine that had been surreptitiously adulterated with fentanyl. This is somewhat unusual, although many deaths in the past have been caused by fentanyl-laced heroin. …

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Saturday SMACCdown: Should Real Airway Docs Use a Checklist?

December 7, 2014, 1:35 am

In this verbal cage match from the 2014 SMACC Gold conference, Dr. Tim Leeuwenburg (@KangarooBeach) goes up against Dr. Minh Le Cong (@ketaminh) to debate the question: “Should real airway docs use checklists?” Very entertaining, and both sides make good points.

Remember, SMACC Chicago takes place June 23-26, 2015. Many of the pre-conference workshops have already sold out, and registration …

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