Episode 5: Introduction to Toxicology & Methemoglobinemia

01/13/25 • 37 min

In Part 1 of this episode, Elizabeth and Jocelyn go through a brief Introduction to Toxicology with the RRSIDEAD approach and common toxidromes, and in Part 2, Matthew and Elizabeth interview Dr Loo Kee Vooi about the exciting topic of Methemoglobinemia!
Thank you for listening!
Timestamps
Introduction to Toxicology
01:45 RRSIDEAD
05:55 MDAC (ABCDQ Mnemonic)
06:45 Dialyzable toxins (PLASMA TV)
07:33 Antidote Quiz
10:11 Toxidromes
10:38 Sedative Hypnotic
11:08 Anticholinergic Toxidrome
11:46 Cholinergic Toxidrome (SLUDGE/DUMBBELLS)
13:38 Sympathomimetic Toxidrome
14:39 Serotonin Syndrome
15:28 Neuroleptic Malignant Syndrome
15:56 Malignant Hyperthermia
Methemoglobinemia
18:47 Overview and Case Scenario
20:24 Initial Management and Diagnostic Clues
23:17 Why is the SpO2 85%?
24:06: Common causes
25:06 Diagnosis
28:13 Considerations when giving Methylene Blue
Credits
Music: Life-line by Colorful Sound via Pixabay/ Best Day by Octosound via Pixabay
SGH Podcast Studio
SEMS
Dr Mong Rupeng for reviewing the Introduction to Tox Segment

References
https://litfl.com/approach-to-acute-poisoning/
https://emcrit.org/ibcc/methemoglobinemia/
Toxicology Handbook by Jason Armstrong/ Ovidiu Pascu (4th Ed)
Goldfrank’s Toxicologic Emergencies (11th Ed)

All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation.

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/

All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation.

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/

Previous Episode

Episode 4: SAEM GRACE-3 Giddiness Guidelines

Ever had a patient with giddiness and felt overwhelmed with the dizzying array of tests one is supposed to know? In this episode, Matthew and Elizabeth discuss the SAEM GRACE-3 Giddiness Guidelines!

Timestamps:
05:07: GRACE-3 Guideline Recommendations
08:34:Timing and Triggers approach (Acute Vestibular Syndrome, Spontaneous Episodic Vestibular Syndrome, Triggered Episodic Vestibular Syndrome)
11:56: HINTS exam (for AVS)
20:28: HINTS+
22:21: Differential Diagnosis
25:45: STANDING algorithm
29:29: Dix Hallpike
34:36: Supine Head Roll
References:
1) Edlow JA et al. Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department. Acad Emerg Med. 2023 May;30(5):442-486.
2) https://emcrit.org/emcrit/dizziness-still-makes-me-dizzy/

Credits
Music: Life-line by Colorful Sound via Pixabay
SGH Podcast Studio
SEMS

All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation.

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/

Next Episode

Episode 6: Teaching Effectively on Shift

Ever had a busy shift where you had to teach at the same time, and wondered how to juggle it all, or a less busy shift where you wondered how to teach without an abundance of clinical material? In this episode, we talk with Dr Derek Heng about ways to teach more effectively on shift!

Timestamps

03:09 What is a good teaching shift?
07:01 How to go about it?
07:36 Setting expectations
11:18 Tailoring to patient acuity
23:30 Metacognition
25:49 Wrapping up
28:16 Enjoying the process - the secret sauce?

Credits:

SEMS
SGH Podcast Studio
Music: Life-line by Colorful Sound via Pixabay

All recordings should not be taken by users/ audience as medical advice. Everyone is encouraged to see their physicians for proper medical consultation.

https://semspodcast.buzzsprout.com/

Any comments or feedback? Suggestions for future episodes? Send us a message!

https://semspodcast.buzzsprout.com/