May 15th, 2020 - The National Association of Medical Examiners convened an expert panel to update the association's evidence-based recommendations for investigating and certifying deaths associated with opioids and other misused substances to improve death certificate and mortality data for public health surveillance. The recommendations are as follows:1. Autopsy provides the best information on a decedent's me...

Aug 31st, 2019 - The release of chemical agents can cause loss of life and result in major incidents. Chemical agent-related major incidents require a modified response by emergency services due to the chemicals' transmissibility, lethality, latency and persistence. In general, modifications to casualty flow, triage and treatment are made to reduce transmissibility, and lethality of chemical hazards. This artic...

Aug 4th, 2016 - British Association of Dermatologists' guidelines for the safe and effective prescribing of methotrexate for skin disease 2016.|2016|Warren RB,Weatherhead SC,Smith CH,Exton LS,Mohd Mustapa MF,|adverse effects,chemically induced,etiology,complications,methods,adverse effects,adverse effects,poisoning,therapeutic use,methods,etiology,complications,complications,chemically induced,chemically induc...

Mar 10th, 2016 - ACMT Position Statement: Duration of Intravenous Acetylcysteine Therapy Following Acetaminophen Overdose.|2016| ,|poisoning,administration & dosage,poisoning,administration & dosage,diagnosis,drug therapy,standards,

Oct 5th, 2015 - Wilderness Medical Society Practice Guidelines for the Treatment of Pitviper Envenomations in the United States and Canada.|2015|Kanaan NC,Ray J,Stewart M,Russell KW,Fuller M,|therapeutic use,poisoning,methods,standards,epidemiology,therapy,poisoning,methods,standards,

Jun 11th, 2015 - Intravenous lipid emulsion (ILE) therapy is a novel treatment that was discovered in the last decade. Despite unclear understanding of its mechanisms of action, numerous and diverse publications attested to its clinical use. However, current evidence supporting its use is unclear and recommendations are inconsistent. To assist clinicians in decision-making, the American Academy of Clinical Toxi...

May 8th, 2015 - The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup presents its systematic review and clinical recommendations on the use of extracorporeal treatment (ECTR) in valproic acid (VPA) poisoning. The lead authors reviewed all of the articles from a systematic literature search, extracted the data, summarized the key findings, and proposed structured voting statements following a predeterm...

Feb 27th, 2015 - Guidance document: management priorities in salicylate toxicity.|2015| ,|blood,pharmacokinetics,poisoning,standards,blood,mortality,physiopathology,therapy,blood,pharmacology,poisoning,

Feb 27th, 2015 - The Extracorporeal Treatments in Poisoning workgroup was created to provide evidence-based recommendations on the use of extracorporeal treatments (ECTRs) in poisoning. Here, the workgroup presents its systematic review and recommendations for theophylline. After a systematic review of the literature, a subgroup reviewed articles, extracted data, summarized findings, and proposed structured vot...

Oct 31st, 2014 - The Extracorporeal Treatments in Poisoning (EXTRIP) workgroup was created to provide evidence and consensus-based recommendations on the use of extracorporeal treatments (ECTRs) in poisoning. To perform a systematic review and provide clinical recommendations for ECTR in carbamazepine poisoning. After a systematic literature search, the subgroup extracted the data and summarized the findings fo...

Jul 7th, 2014 - The EXTRIP (Extracorporeal Treatments in Poisoning) Workgroup conducted a systematic review of barbiturate poisoning using a standardized evidence-based process to provide recommendations on the use of extracorporeal treatment (ECTR) in patients with barbiturate poisoning. The authors reviewed all articles, extracted data, summarized key findings, and proposed structured voting statements follo...

Dec 18th, 2013 - Sales of raw or unpasteurized milk and milk products are still legal in at least 30 states in the United States. Raw milk and milk products from cows, goats, and sheep continue to be a source of bacterial infections attributable to a number of virulent pathogens, including Listeria monocytogenes, Campylobacter jejuni, Salmonella species, Brucella species, and Escherichia coli O157. These infect...

Nov 8th, 2013 - Most fire-related deaths are attributable to smoke inhalation rather than burns. The inhalation of fire smoke, which contains not only carbon monoxide but also a complex mixture of gases, seems to be the major cause of morbidity and mortality in fire victims, mainly in enclosed spaces. Cyanide gas exposure is quite common during smoke inhalation, and cyanide is present in the blood of fire vict...

Oct 18th, 2013 - The American College of Medical Toxicology and the National Association of Medical Examiners convened an expert panel to generate evidence-based recommendations for the practice of death investigation and autopsy, toxicological analysis, interpretation of toxicology findings, and death certification to improve the precision of death certificate data available for public health surveillance. The...

Jul 28th, 2012 - The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup was formed to provide recommendations on the use of extracorporeal treatment (ECTR) in poisoning. To test and validate its methods, the workgroup reviewed data for thallium (Tl). After an extensive search, the co-chairs reviewed the articles, extracted the data, summarized findings, and proposed structured voting statements following...

Feb 18th, 2012 - Enclosed-space smoke inhalation is the fifth most common cause of all unintentional injury deaths in the United States. Increasingly, cyanide has been recognized as a significant toxicant in many cases of smoke inhalation. However, it cannot be emergently verified. Failure to recognize the possibility of cyanide toxicity may result in inadequate treatment. Findings suggestive cyanide toxicity i...

Mar 26th, 2011 - The Guidelines in Emergency Medicine Network (GEMNet) has been created to promote best medical practice in a range of conditions presenting to emergency departments (EDs) in the UK. This guideline presents a summary of the best available evidence to guide the management of adult patients who present to the ED following an overdose of tricyclic antidepressant agents (TCA). The document has been ...

Jul 16th, 2010 - The present report from several French medical societies in the field and the French National Authority for Health provides an expert consensus for the management of patients on vitamin K antagonists in at-risk situations (overdose, risk of bleeding, and active bleeding). Asymptomatic VKA overdose is defined as an International Normalized Ratio (INR) value above the upper limit of the therapeut...

Mar 11th, 2010 - The American Society of Regional Anesthesia and Pain Medicine Practice Advisory on Local Anesthetic Systemic Toxicity assimilates and summarizes current knowledge regarding the prevention, diagnosis, and treatment of this potentially fatal complication. It offers evidence-based and/or expert opinion-based recommendations for all physicians and advanced practitioners who routinely administer loc...

Sep 9th, 2008 - Anatomy and pathophysiology of spinal cord injury associated with regional anesthesia and pain medicine.|2008|Neal JM,|adverse effects,poisoning,etiology,physiopathology,anatomy & histology,blood supply,drug effects,complications,epidemiology,etiology,physiopathology,anatomy & histology,injuries,adverse effects,etiology,physiopathology,