Emergency Medicine Cases

Ep 180 Acetaminophen Poisoning – Pitfalls in Assessment and Management

Mar 14, 2023

01:19:22

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Highlights

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Episode notes

Acute Hepatic Failure and Acetaminophen Toxicity

04:57

The Clinical Presentation of Acetaminophen Poisoning

04:28

Dosage for Acetaminophen in Pediatrics

02:26

Introduction

4min

The Clinical Presentation of Acetaminophen Poisoning

4min

The Four Stages of Acetaminophen Poisoning

6min

Acetaminophen Level Is Interfering With Bilirubin

2min

Acute Hepatic Failure and Acetaminophen Toxicity

5min

What Laboratory Investigations Are Needed to Prevent a Cenaminophen Toxicity?

2min

The Pitfalls of a False Positive Acetaminophen Level

2min

What Are the Pitfalls in Interpreting the Nomogram?

5min

Is It Safe to Get a Liver Transplant Early On?

3min

10.

The Matthew Rheumach Nomogram - Acetaminophen Level Against Time

2min

11.

The Nomogram Is the Science Behind Acetaminophen Toxicity

3min

12.

Who Should Get an Acetaminophen Level in the Emergency Department?

2min

13.

Do You Need an ASA Acetaminophen Level?

2min

14.

The EM Case Summit Video Streaming Package

3min

15.

Dosage for Acetaminophen in Pediatrics

2min

16.

The Indications for NAC

2min

17.

Should I Start NAC for an Overdose?

2min

18.

Acute Ingestion

2min

19.

Is There a Delayed Infusion of NAC?

2min

20.

Is It Reasonable to Start NAC in a Patient With a Massive Overdose?

2min

21.

Dosing of NAC

4min

22.

The Importance of Getting the Right Dose

3min

23.

What Is a Massive Overdose?

2min

24.

The Difference Between Massive Overdose and Normal Overdose

2min

25.

NAC Dosing in Massive Overdose

2min

26.

Is Hemodialysis a Standard of Care for Massive Acetaminophen Poison Patients?

4min

27.

Is Fumepisol a Good Adjunct to NAC?

4min

28.

The Seven Pitfalls of Acetaminophen Dosing

2min

In this main episode podcast we explore a dozen pitfalls in the assessment and management of acetaminophen poisoning. Dr. Emily Austin and Dr. Margaret Thompson answer questions such as: how is massive acetaminophen overdose a totally different toxidrome compared to non-massive overdose? Which patients are the ones that we are most likely to miss and have poor outcomes? What are the common ways in which we misinterpret the Rumack-Matthew nomogram? What are indications for fomepizole and dialysis after acetaminophen poisoning? Is hyperphosphatemia the best predictor of need for liver transplant in acetaminophen poisoning? and many more... Please support EM Cases by giving a donation: https://emergencymedicinecases.com/donation/