Toxicology

Prioritization: Intracranial Hemorrhage, Testicular Torsion, and Tricyclic Antidepressant Toxicity Presenting to a Community Emergency Department

Brian Milman, MD*, Marshall Howell, MD*, Joshua Ginsburg, MD* and Samuel Parnell, MD*

DOI: https://doi.org/10.21980/J8.52346 Issue 10:5[mrp_rating_result]
By the end of this case learners should: 1) Become familiar with the format of a prioritization case (a component of the ABEM Certifying Exam), 2) demonstrate their ability to prioritize multiple patients and provide stabilizing care, 3) consider changes in status/patient acuity/new cases as presented, 4) understand how to utilize team resources appropriately.
Current IssueCertifying Exam CasesNeurologyPrioritizationToxicologyTraumaUrology

Beta-Blocker Toxicity

Amrita Vempati, MD *and PJ Greene, MD*

DOI: https://doi.org/10.21980/J8WD3X Issue 10:3[mrp_rating_result]
By the end of the session, learners will be able to: 1) manage a patient with hypotension, and bradycardia while maintaining a broad differential, 2) evaluate the causes of hypotension by utilizing ultrasound, 3) review when to initiate vasopressors and first-line agents for beta-blocker toxicity, 4) discuss treatment algorithm for BB toxicity including high-dose insulin and, 5) discuss the risk factors for suicide
SimulationToxicology

A Recipe for Disaster – Sodium Bicarbonate Overdose

Adeola A Kosoko, MD*, Amara Ogoke, MD* and Kyle Vogt, MD^

DOI: https://doi.org/10.21980/J8MW85 Issue 10:3[mrp_rating_result]
At the end of this oral board session, learners will be able to: 1) obtain a history which includes medications and other supplements used by the patient, 2) interpret a prolonged QTc, 3) diagnose metabolic alkalosis due to sodium bicarbonate toxicity, and 4) manage sodium bicarbonate toxicity with fluid and electrolyte resuscitation.
Certifying Exam CasesToxicology

Alcohol Withdrawal

Patrick Meloy, MD*, Dan Rutz, MD^ and Amit Bhambri, MD†

DOI: https://doi.org/10.21980/J87S8Q Issue 10:1[mrp_rating_result]
At the end of this oral boards session, learners will: 1) demonstrate the ability to perform a detailed history and physical examination in a patient presenting with signs and symptoms of alcohol withdrawal, 2) investigate the broad differential diagnoses, including electrolyte abnormalities, trauma in the intoxicated patient, mild alcohol withdrawal, and delirium tremens, 3) list appropriate laboratory and imaging studies to include complete blood count (CBC), complete metabolic panel (CMP), magnesium level, computed tomography (CT) scan of the brain; 4) understand the management of hypoglycemia with concurrent administration of thiamine to prevent Wernicke’s encephalopathy and subsequent Korsakoff syndrome, 5) appropriately treat acute alcohol withdrawal with intravenous (IV) hydration and benzodiazepines, phenobarbital, or alternative medications, and 6) understanding the need for the complex management of these patients, appropriately disposition the patient to the intensive care unit after consulting with critical care specialists.
Certifying Exam CasesPharmacologyToxicology

Acetaminophen Toxicity

Rachel Whittaker, MD* and Navneet Cheema, MD*

DOI: https://doi.org/10.21980/J8435R Issue 10:1[mrp_rating_result]
At the end of this practice oral board session, examinees will be able to: 1) demonstrate an ability to obtain a complete medical history in an oral boards structured interview format, 2) review appropriate laboratory tests and imaging to evaluate abdominal pain, 3) investigate a broad differential diagnosis for right upper quadrant abdominal pain, 4) recognize chronic acetaminophen toxicity, 5) initiate the appropriate treatment for chronic acetaminophen toxicity, 6) demonstrate effective communication with the patient, consultants, and the admitting team.
Toxicology

Development and Design of a Pediatric Case-Based Virtual Escape Room on Organophosphate Toxicity

Kaitlyn Boggs, MD*, Manu Madhok, MD, MPH^ and Tania Ahluwalia, MD, MPH†**

DOI: https://doi.org/10.21980/J8DH1V Issue 9:3[mrp_rating_result]
By the end of the activity, learners should be able to: 1) recognize risk factors, symptoms, and presentation for organophosphate poisoning; 2) understand the radiologic and laboratory findings in organophosphate poisoning; 3) distinguish and differentiate electrocardiogram findings in common toxic ingestions; 4) explain the pathophysiology of organophosphate poisoning; 5) understand the importance of decontamination of the patient and personal protective equipment for staff for organophosphate poisoning; 6) describe the airway management of organophosphate poisoning; 7) describe the medical management of organophosphate poisoning, including antidotes and the correct dosing and 8) demonstrate teamwork through communication and collaboration.
Small Group LearningToxicology

Calcium Channel Blocker Overdose

Jessica G Andrusaitis, MD, MS* and Alan Givertz, MD^

DOI: https://doi.org/10.21980/J8CQ07Issue 9:1[mrp_rating_result]
At the end of this oral board session, examinees will: (1) demonstrate ability to evaluate a patient with undifferentiated shock with bradycardia and discuss the differential diagnosis, (2) recognize the signs and symptoms of calcium channel blocker overdose, (3) demonstrate ability to manage treatment of a patient with calcium channel overdose.
Cardiology/VascularCertifying Exam CasesToxicology

Alcohol Withdrawal with Delirium Tremens

Courtney Schwebach, MD* and Amrita Vempati, MD*

DOI: https://doi.org/10.21980/J8S35N Issue 8:3[mrp_rating_result]
By the end of the session, learner will be able to  1) discuss the causes of altered mental status,  2) utilize CIWA scoring system to quantify AW severity, 3) formulate appropriate treatment plan for AW by treating with benzodiazepine and escalating treatment appropriately, 4) treat electrolyte abnormalities by giving appropriate medications for hypokalemia and hypomagnesemia, and 5) discuss clinical progression and timing to AW.
SimulationToxicology