In this new regular series, we’ll take a closer look at some of the drugs we use frequently in the ED. We aim to capture new indications for old standbys, or risks and dosing adjustments you should know, plus some unusual facts you might enjoy.
Case: A 41-year-old male with rheumatoid arthritis, depression and polysubstance abuse is brought to an urban emergency department after being found unresponsive at home. In the field, paramedics administered 2mg of nebulized naloxone and the patient became more alert. Per the patient’s spouse, they had been injecting “crocodile” all week.
Paramedics present to an urban emergency department with a middle aged
man found unresponsive in a nearby alley. The paramedics were unable to
obtain IV access due to years of drug abuse and overall poor venous
A 31-year-old African American male without any significant medical
history presented to the emergency department with complaints of left
arm pain, vomiting, and dark urine. One week prior to his presentation,
he felt a sudden burning sensation to his arm and then developed
redness, swelling, and pain.
A 48-year-old male presents to the emergency department complaining of
bilateral hand numbness and tingling over the past few months. The
patient has also noticed a mild swelling of bilateral lower extremities,
worse at the end of the day and improved with leg elevation. He has no
significant past medical history and takes no medications.