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EMCrit 351 - Severe Acetaminophen (Tylenol) Toxicity

EMCrit FOAM Feed

Scott D. Weingart, MD FCCM

Medicine, Health & Fitness, Science

4.82K Ratings

🗓️ 15 June 2023

⏱️ 32 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks, Scott Weingart here and this is an Amcred podcast today on the podcast massive

0:07.1

severe acetaminophen overdose Tylenol paracetamol.

0:12.8

This is another one of those life threatening toxicological ingestions that we should have

0:18.1

on the show.

0:19.1

We have, I think at the stage we have calcium chanoblocker and beta blocker overdose and

0:24.4

then a bunch of general talk stuff but we haven't gone through a lot of the specific

0:27.8

agents.

0:28.8

I'm pretty sure we did try cyclics.

0:31.3

Well now we'll add severe acetaminophen to the mix and now I rarely will do these tox

0:38.2

episodes alone unless it's dealing with the critical care side of things rather than

0:42.3

toxicology side.

0:43.6

So I need a toxicologist and I got an incredible toxicologist and that toxicologist is Emily

0:49.1

Austin.

0:50.1

Now, I first heard her many times on the EM cases show Anton Helman's amazing podcast and

0:56.0

he just did a stupendous episode on all things acetaminophen with Emily Austin and one

1:02.0

of her colleagues.

1:03.2

But I wanted to concentrate specifically on massive ingestion and I could actually send

1:08.3

you to Anton's show.

1:09.8

I linked it in the show notes for all things a review of acetaminophen toxicity in general.

1:15.7

So we're just going to deal with massive today.

1:17.5

Emily Austin is amazing.

1:18.5

She's at the Ontario Poison Center.

...

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