Úna Nic Ionmhain
@unanici.bsky.social
Tá gaeilge agam. Irish doc, ED FACEM and Clinical Toxicologist in Oz. Into trauma, resus,cardio & tox! Hike, run & rock in spare time! #FOAMed ❤️ dogs
Reposted by Úna Nic Ionmhain
Illicit Drug Induced Hyperthermia
doi.org/10.1111/1742...
@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM
doi.org/10.1111/1742...
@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM
June 22, 2025 at 6:46 AM
Illicit Drug Induced Hyperthermia
doi.org/10.1111/1742...
@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM
doi.org/10.1111/1742...
@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM
Reposted by Úna Nic Ionmhain
Loperamide and its metabolite N-desmethyl loperamide can lead to prolonged cardiotoxicity that persists for days, highlighting the need for electrocardiograph and continuous monitoring
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
May 7, 2025 at 2:17 PM
Loperamide and its metabolite N-desmethyl loperamide can lead to prolonged cardiotoxicity that persists for days, highlighting the need for electrocardiograph and continuous monitoring
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
Reposted by Úna Nic Ionmhain
In this study of high-dose insulin use, calcium channel blocker poisoning (especially verapamil) was more lethal than beta-blocker poisoning. Amlodipine-exposed patients were more commonly treated with methylthioninium chloride.
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
July 10, 2025 at 2:01 PM
In this study of high-dose insulin use, calcium channel blocker poisoning (especially verapamil) was more lethal than beta-blocker poisoning. Amlodipine-exposed patients were more commonly treated with methylthioninium chloride.
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
Reposted by Úna Nic Ionmhain
In this retrospective study, 23% of gamma-hydroxybutyrate overdose cases required intubation. Vomiting and a perceived risk of inadequate airway protection were the main indications for intubation, yet aspiration pneumonitis still occurred
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
July 10, 2025 at 2:32 PM
In this retrospective study, 23% of gamma-hydroxybutyrate overdose cases required intubation. Vomiting and a perceived risk of inadequate airway protection were the main indications for intubation, yet aspiration pneumonitis still occurred
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
Reposted by Úna Nic Ionmhain
How fast are you correcting hyponatremia? Scared of demyelination? Did you know that slower rate are associated with more death?? #FOAMed
Big practice change coming? How fast do you correct hyponatremia?
When managing hyponatremia, the primary concern (at least as far as I have always been taught) is osmotic demyelination syndrome. We are warned not to correct the sodium too quickly, because the neurologic outcome can be awful. However, demyelination is very rare, and apparently there is a lot of data that suggests correcting sodium too slowly can increase mortality!
first10em.com
December 9, 2024 at 11:11 AM
How fast are you correcting hyponatremia? Scared of demyelination? Did you know that slower rate are associated with more death?? #FOAMed
Reposted by Úna Nic Ionmhain
In this retrospective review, a paracetamol concentration between 2 – 4 hours post ingestion in children (<6 years of age) with unintentional poisoning of paracetamol liquid can facilitate discharge
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....
November 25, 2024 at 6:47 PM
In this retrospective review, a paracetamol concentration between 2 – 4 hours post ingestion in children (<6 years of age) with unintentional poisoning of paracetamol liquid can facilitate discharge
www.tandfonline.com/doi/full/10....
www.tandfonline.com/doi/full/10....