Crackcast & Physicians As Humans On Canadiem

This episode of CRACKCast covers Rosen's Chapter 154, Lithium. You will have a solid approach to lithium overdose after listening to this episode!

Core questions:   Describe the cholinergic toxidrome from organophosphates Describe the clinical presentation of organophosphate toxicity. How is organophosphate toxicity managed? What are the complications of organophosphate toxicity? What is the difference between organophosphates and carbamates? What are the unique features of chlorinated hydrocarbon toxicity? What is an example of a chlorinated hydrocarbon? How are they managed? How do Substituted Phenols (Dinitrophenol) cause toxicity? How are they managed? How is toxicity from chlorophenoxy Compounds (Agent Orange) managed? What is expected in paraquat toxicity? and how is this managed? What are the toxic effects of pyrethrins and pyrethroids?   Wisecracks:   What is aging - in relation to organophosphate toxicity? What is the maximum formulation of DEET in pediatrics? When should you not use DEET?    

This episode of CRACKCast covers Rosen’s 9th Ed Chapter 151, Iron and Heavy Metals. While often not recognized in the acute care setting, chronic toxicity from heavy metals is common and has high morbidity, especially in pediatric populations and requires careful attention to risk factors and symptomatology.

Core questions: List 6 commonly abused opioids (Table 156:1) Describe the opioid toxidrome (list opioid effects on Neuro, Resp, Ophtho, CV, GI, Derm) List opioid preparations associated with the following presentations: Long QTc → Prolonged QRS → Seizures → Hallucinations →) Sensorineural hearing loss → Serotonin syndrome →   i) What is the dose of narcan? ii) What is the duration of action? iii) How do you administer a narcan infusion? What opioid overdoses/ingestions need longer than 6 hours of observation? What is the clinical presentation of opioid withdrawal? What are risk factors for opioid withdrawal? List 3 medications effective for opioid withdrawal. What is the number one killer of people under 50? What is Suboxone? How do you do a Suboxone induction? WiseCracks: List 5 ddx for opioid intoxication (CNS + resp depression, + miosis). What opioids don’t cause miosis? Risk factors for opioid overdose? What is NAPE? Narcan induced pulmonary edema. Difference between a “body packer” and “body stu

This episode of CRACKCast covers Rosen’s Chapter 141, Toxic Alcohols. This chapter covers exposure to your stereotypical toxic alcohols (i.e., ethylene glycol and methanol) as well as the consequences of ingesting ethanol and isopropyl alcohol. 

This episode of CRACKCast covers Rosen’s Chapter 153, Inhaled Toxins. This chapter covers exposure to various inhalation toxins including CO, hydrogen sulfide, etc. and includes their treatment and management for acute exposures.

This episode of CRACKCast covers Rosen’s 9th Ed Chapter 147, Cardiovascular Drugs. With increasingly common use of these medications for heart disease and an ever aging population, it is imperative to understand the prompt recognition and therapy for toxic exposures. Recognition of the more lethal agents and how to disposition these patients in the ED are the cornerstones of this chapter.

This episode of CRACKCast covers Rosen’s 9th Edition Chapter 154, Cocaine and Other Sympathomimetics. Continuing along the spectrum of toxicologic exposures, these agents account for a large number of presentations to emergency departments every year. Having an in-dept understanding of their mechanism of action and a solid approach to the assessment and treatment of these patients is critical.

This episode of CRACKCast covers Rosen’s 9th Ed Chapter 152, Hydrocarbons. Continuing the spectrum of toxicologic exposures, these agents account for relatively few presentations. Recognition of the more lethal agents and how to disposition these patients in the ED are the cornerstones of this chapter.

This episode of CRACKCast covers Rosen’s 9th Ed Chapter 150, Hallucinogens. This chapter covers exposure to several families of hallucinogenic toxins, their presentations, complications, and treatment.

This episode of CRACKCast covers Rosen’s Chapter 153, Caustics. This chapter covers oral exposure to caustic agents, including the ED management, complications and potential treatment.

This episode of CRACKCast covers Rosen’s 9th Edition Chapter 146, Antidepressants. Continuing the section on toxicology, antidepressants make up one of the most commonly prescribed medications in the general population. The use and misuse of antidepressants can have serious consequences and having a high suspicion of overdose in suicidal patients can lead to timely antidote therapy.

This episode of CRACKCast Covers Rosen's Chapter 145, Anticholinergics. You will learn everything you need to know for the next hot and bothered patient that rolls in to the ED!

This episode of CRACKCast covers Rosen's Chapter 149, Aspirin and Nonsteroidal agents. You will become well-versed in the presentation of Salicylism and how to manage it. The episode also touches on NSAID overdose, with rare severe complications.

This 148th episode of CRACKCast covers Rosen’s 9th edition, Chapter 143, acetaminophen. Also known as paracetamol and Tylenol, you need to know this overdose cold!

This episode of CRACKCast covers Rosen’s Chapter 147, A General Approach to the Poisoned Patient. This is probably one of the most cornerstone podcasts we have done, and you'll enjoy the pearls dropped by staff ED-Toxicologist, Dr Jesse Godwin.

In this 146th episode of CRACKCast, we cover Radiation injury. A very rare, but important topic to know cold. From alpha particles to triage systems, we've got you covered.

This episode of CRACKCast covers Rosen’s Chapter 144, High Altitude Medicine. The problems encountered can be mostly be prevented through slow ascent and generally treated with oxygen and descent. This summary of respiratory physiology will explain why people can find themselves quickly quite unwell at high altitudes.

This episode of CRACKCast covers Rosen’s Chapter 145, Drowning. Not only an important topic to know about in the resuscitation bay, but also out in the world!

This episode of CRACKCast covers Rosen's Chapter 143, Diving Injuries and Dysbarism. While infrequently encountered except for those centers frequented by SCUBA enthusiasts, we must know the hard facts on the potentially life-threatening diving related injuries that may occur suddenly and need urgent attention.