Education Corner

Cardiotoxic Overdose Treated with Intravenous Fat Emulsion and High-Dose Insulin in the Setting of Hypertrophic Cardiomyopathy

High-dose insulin (HDI) and intravenous fat emulsion (IFE) are used in overdoses, although rarely combined. To our knowledge, IFE therapy has not been reported in overdoses of diltiazem, metoprolol and amiodarone. We report a severe overdose of these drugs treated with HDI and IFE in a patient with hypertrophic cardiomyopathy…

How Common is MRSA in Adult Septic Arthritis?

Acute monoarticular arthritis is a common problem in emergency medicine. Among the leading causes, septic arthritis is the most important emergency to identify because it leads to rapid cartilage destruction and is associated with significant inhospital mortality.

Unanticipated Death After Discharge Home From the Emergency Department

Recent attention to medical error as a cause for preventable death has led to increased efforts in quality improvement and identification of medical errors.1,2 The emergency department (ED) has previously been identified as an area of high risk for medical error leading to death.3,4 Patients who are treated in an…

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