David Carroll

Father x 2, Medical Toxicologist, ER doc, POCUS enthusiast, BJJ (10p) blue belt

[David Carroll @Davekcarroll]

@SteveCurryMD C, SMFA

[reuben strayer @emupdates]

Once again, IM lorazepam is an inferior choice in the management of emergency agitation.

https://t.co/k28Wb23R0X

[reuben strayer @emupdates]

This paper in JGIM reads more like investigative journalism than a medical manuscript.

"The widespread use of lorazepam for alcohol withdrawal in the USA is likely a legacy of the deceptive practices employed by Wyeth."

https://t.co/qU7SJD2q7c

[David Carroll @Davekcarroll]

@OGdukeneurosurg IM Ketamine for the snake (nonvenomous B. constrictor) - ~10mg/kg

[David Juurlink @DavidJuurlink]

Now THAT is a prescribing cascade

@CarolynTanMD

[David Carroll @Davekcarroll]

@shundeshagen @jtrebach This comment seems AI generated and incorrect - plenty of cases with qualitative (+) polyclonal dig assays (as Josh mentioned in his awesome thread above), while not perfect dsfab would be the potentially lifesaving intervention, I see no evidence of a lack of adsorption with AC

[David Carroll @Davekcarroll]

@SteveCurryMD Sumatriptan

[David Carroll @Davekcarroll]

@SteveCurryMD 1. Losartan
2. Trazodone, also nefazodone
3. Mitragyna speciosa exposure i.e. kratom
4. Probably was an EMIT, common to have poor specificity for binding glucuronidated metabolites like lorazepam here

[David Carroll @Davekcarroll]

@SteveCurryMD DFO

[Casey Albin, MD @caseyalbin]

Anyone who has rounded with me knows that thiamine is my favorite ‘drug’

[David Carroll @Davekcarroll]

@SteveCurryMD @ToxAndHound @ToxicSnowEM 1. A
2. O
3. J
4. C
5. F
6. N
7. K
8. I
9. L
10. B
11. M
12. P
13. D
14. H
15. E
16. G
Thanks as always for the challenge

[Steve Curry @SteveCurryMD]

Hair-straightening cosmetics containing glyoxylic acid induce crystalline nephropathy - Kidney International https://t.co/g5RNDes1Xi

[Paul Wischmeyer MD @Paul_Wischmeyer]

🚨90% of #CRRT patients develop micronutrient deficiencies w/in 5-7 days!

💡Most common deficiencies:
- Copper
- Vitamin B6
- Carnitine

Can lead to pancytopenia, encephalopathy, & #muscle weakness

FREE Full Text email @ [email protected]
🔗https://t.co/Iws851thD8

#FOAMcc #icunutrition #kidney #icu

[David Carroll @Davekcarroll]

@SteveCurryMD @ToxAndHound @ToxicSnowEM Nitric acid, NO2, delayed pulmonary edema

[korbinhaycockmd @khaycock2]

CVP shouldn’t be thought of as an indicator of fluid responsiveness but rather it’s indicating the operating point of cardiac performance (contractility & afterload, ie FS curve) & venous return (intravascular stressed volume & vascular compliance, ie VR curve) @heart_lung

[CHEST @accpchest]

Tranexamic Acid Neurotoxicity After Nebulization and BAL

What's the diagnosis? Read the full Novel Report in the October issue to learn more: https://t.co/5ThPKOBzQL
#MedEd #JournalCHEST

[Roger Rodby @NephRodby]

You encounter a woman with HTN and hypokalemic metabolic alkalosis. First move? Renin and Aldo, Genetic testing, U chloride, Renal artery imaging, better history? The answer is always history. Huge kudos to prior @Rush_Nephrology fellow @MeloneyOliveira for making the diagnosis!

[David Carroll @Davekcarroll]

@hspungenmd Good luck!

[SIVA Trainees @SIVATrainees]

Top-Down & Bottom-Up Mechanisms of Anaesthesia
If you give propofol quickly, your EEG looks VERY different to a slow infusion (very slow).

Why does this happen and what brain effects does it represent?
It's because the way they cause unconsciousness are different!
1/9

[Steve Curry @SteveCurryMD]

MedTox Fellows: 29YOM found down. Stat UDS below.
1. Source of mCPP? What other drug not shown also goes to mCPP?
2. Which drug is partial agonist at its main receptor of action?
3. Which drug binds alpha2delta-1 protein to maintain Mg2+ blockade of NMDA glutamate receptors?