Antifreeze Poisonings and Episode 151
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Welcome to Episode 151
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EMS News–
Four EMTs injured when ambulance is hit by truck
Ambulance Trip from Gaza a Harrowing Ride
First responders have to keep going, even in the snow and ice
Firefighter’s Association Blames Paramedic Burnout On Shortage
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Tip of the Week: Antifreeze Poisonings ToxTidbit with Lisa Booze
Most poisoning episodes offer a unique chance for EMTs and paramedics to use their observation skills in relaying important parts of the patient history and surroundings to the emergency department staff. Incidents of antifreeze ingestion are prime examples of this.
In many cases seen by poison control centers, long term alcohol abusers drink antifreeze seeking an inexpensive source of alcohol. Unfortunately, the ethylene glycol is fatal in extremely small doses and does appear to be a simple case of intoxication on first glance to a medical provider.
EMS providers should be careful not to simply assume the town drunk is up to his or her regular tricks when they show up for another transport to the hospital. Ask careful questions about the specific drink of choice this evening. Observe the surroundings for evidence of an antifreeze container or other chemical source of potential intoxicants. Be prepared to relay these suspicions to online medical control or to the ER nurse upon arrival.
Ethylene Glycol (the key ingredient in antifreeze and some other common chemicals) is extremely toxic but can be countered when recognized early enough as a cause of overdose or poisoning. The lab tests and signs of metabolic acidosis are just some of the markers that distinguish this from other types of alcohol based poisonings including wood alcohol (methanol) ingestion.
Follow these links to more information and tutorials
Ethylene Glycol Poisoning Overview
CDC on Ethylene Glycol and Propylene Glycol Toxicity
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Song this week:
Great music by Johanna Stahley (website link) – Nothing I Would Change – (iTunes link)
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Until next time, Scene safety, BSI!
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[…] Join us tonight for Doctor Anonymous Show 67 where our guest will be Jamie Davis who is the Managing Director of The ProMed Network which is a new network of medical/health podcasts. In addition to the ProMed Network, Jamie also produces a number of podcasts including The MedicCast. The player above is the most recent episode of The MedicCast talking about Antifreeze Poisonings. […]
[…] Join us tonight for Doctor Anonymous Show 67 where our guest will be Jamie Davis who is the Managing Director of The ProMed Network which is a new network of medical/health podcasts. In addition to the ProMed Network, Jamie also produces a number of podcasts including The MedicCast. The player above is the most recent episode of The MedicCast talking about Antifreeze Poisonings. […]
[…] Join us tonight for Doctor Anonymous Show 67 where our guest will be Jamie Davis who is the Managing Director of The ProMed Network which is a new network of medical/health podcasts. In addition to the ProMed Network, Jamie also produces a number of podcasts including The MedicCast. The player above is the most recent episode of The MedicCast talking about Antifreeze Poisonings. […]
[…] Join us tonight for Doctor Anonymous Show 67 where our guest will be Jamie Davis who is the Managing Director of The ProMed Network which is a new network of medical/health podcasts. In addition to the ProMed Network, Jamie also produces a number of podcasts including The MedicCast. The player above is the most recent episode of The MedicCast talking about Antifreeze Poisonings. […]