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The St.Emlyn’s Podcast

Ep 254 - Monthly Round Up October 2024 - Toxicology, Cardiac Arrest and more

Dec 18, 2024
Dive into a range of thrilling medical topics this month! Discover alarming trends in toxicology, focusing on high-potency opioids and innovative treatments for benzodiazepine overdoses. Learn about the Green ED project addressing climate change's impact on healthcare. New insights on the best ventricular fibrillation pad placements and the role of tranexamic acid in trauma care are also explored. Plus, find out how to maintain positivity in challenging times, emphasizing small victories and the joys of emergency medicine!
27:02

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Quick takeaways

  • The alarming rise in high-potency opioids and benzodiazepines calls for heightened awareness and education among emergency medicine professionals to mitigate overdose risks.
  • The Green ED project highlights the critical need for healthcare systems to adopt sustainable practices in response to the challenges posed by climate change.

Deep dives

Concerns Over Potent Opioids and Benzodiazepines

The discussion highlights the emerging issue of high-potency opioids and novel benzodiazepines affecting patient safety in emergency medicine. Notably, there has been an alarming rise in opioid-related deaths, particularly in Scotland, due to powerful substances like carfentanil and others. The podcast emphasizes the necessity for healthcare professionals to remain vigilant and informed about these drugs, as they can result in severe overdose scenarios requiring substantial amounts of naloxone for reversal. Additionally, there is a growing debate regarding the use of flumazenil for benzodiazepine overdoses, challenging traditional beliefs and encouraging practitioners to seek guidance from toxicology experts.

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