Brain Dead?

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A baffling case of apparent brain death… Can you work out what has happened?

Toxicology Social Media Shout Outs

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The LITFL team gives a shout out to three great new toxicology resources: Twin Cities Toxicology, ToxTals and the ACMT podcast.

A Fumbling, Mumbling Mess!

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A puzzling case of drug-induced delirium. Can you solve the mystery?

Paracetamol-induced hepatotoxicity

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A 49-year old lady presents to a rural Australian hospital with paracetamol-induced hepatotoxicity. Can you predict whether she is likely to need liver transplantation (and therefore urgent aeromedical retrieval)?

Massive Propranolol Overdose

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A 27-year old female presents to ED one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with a heart rate of 46 bpm. Fifteen minutes earlier she had been awake and able to give a history to paramedics… You need to act fast to save this patient. Are you up to the challenge?

R&R in the FASTLANE 001

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Some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.

Therapeutic Showering

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A review of the literature on the assessment and management of the patient suffering from cannabinoid hyperemesis syndrome.

A Lesson in History

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A man, originally from Somalia, is jaundiced and has abnormal LFTs. Can you work out the cause?

Carbon Monoxoide Poisoning

Carbon Monoxide

10 Q-and-As testing your knowledge of Diagnosis And Management Of Carbon Monoxide Poisoning In the ER based on @EBMedicine’s Feb 2011 review

Toxicology Handbook, 2nd Edition

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For a forthright review of the Toxicology Handbook 2nd edition, the LITFL team turned to an esteemed emergency medicine educator, Dr Trevor Jackson.