Annals of EMquizzER Winners: Chris Guyer Allison Loynd Rob Klever Sam Lee Dr Kuhn Brian Kern Marjan Siadat Julie Nguyen Devon Moore Dave Mishkin Last Week’s Question The answer is D Patients with chest pain in the setting of cocaine use should be evaluated for possible myocardial ischemia. Patients suspected of ACS should be managed accordingly with [...]
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Chest Pain A 47-year-old man with a history of hypertension presents to the ED complaining of continuous left-sided chest pain that began while snorting cocaine 1 hour ago. The patient states he never experienced chest pain in the past when using cocaine. His blood pressure is 170/90 mm Hg, heart rate is 101 beats per [...]
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quizzER Winners: Brian McMichael Rob Klever Marjan Siadat Samuel Lee Jeff McMenomy David Mishkin Allison Loynd Scott Ottolini Devon Moore Julie Nguyen Brian Kern Richard Gordon Last Week’s Question Answer: The answer is c. The patient drank insecticide, which is primarily composed of organophosphate compounds (e.g., Malathion). These compounds inhibit [...]
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Toxicology After being fired from his job, a 35-year-old man attempts suicide by drinking from a bottle labeled “Insecticide”. Three hours later, EMS brings him in to the ED and you notice he is extremely diaphoretic, drooling, and vomiting. He is awake but confused. His vital signs are BP 170/90 mm Hg, HR 100, RR [...]
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