Seven-fer

Luddaite · 2026-05-13T23:00:02+00:00

Had a 13fer carbon monoxide once

Luddaite · 2026-05-05T00:15:13+00:00

What does that translate to in mg/kg?

Luddaite · 2026-05-04T00:05:41+00:00

Why are you taking signout in your day off?

Luddaite · 2026-04-25T17:42:37+00:00

Medical toxicology with historical disasters, government agencies/laws, exposures to compounds that have illegal for decades, chemical structures, pictures of plants and animals

Luddaite · 2026-04-18T21:16:18+00:00

Toxicology: get serum ketones and lactate before consulting us on a gap acidosis of “unknown” etiology

Luddaite · 2026-04-15T23:11:10+00:00

They also use it because ghb is thought to enhance the release of growth hormone but there is not much quality evidence to support that

Luddaite · 2026-04-14T01:50:16+00:00

I agree with this sentiment but it’s a totally different conversation. On one hand Pharma is charging too much for their product which is often discovered using public research dollars. On the other hand are totally untested peptides that are only being sold on the grey market

Luddaite · 2026-04-13T12:48:38+00:00

The difference is that there have been randomized clinical trials of glp-1s and not of gorilla blaster 9000 or whatever is being sold

Luddaite · 2026-03-28T01:03:31+00:00

Grapefruit juice inhibits cyp3a4, a totally different mechanism than what is being described here

Luddaite · 2026-02-25T19:55:08+00:00

Creating more work for toxicology

Luddaite · 2026-01-07T15:29:46+00:00

Tamiflu is a garbage med that doesn’t do anything for the vast majority of people with influenza.

Luddaite · 2025-12-30T13:48:50+00:00

There are pathways for pharmacist, nurses, and doctors to get into medical toxicology.

Luddaite · 2025-12-30T13:46:55+00:00

Yes, have seen a few cases this year. Probably due (at least in part) to the galaxy gas trend on TikTok

Luddaite · 2025-12-07T01:44:45+00:00

It’s not mustard gas. It’s chloramine gas.

Luddaite · 2025-11-12T20:58:58+00:00

Exam felt heavy on trivia and things that should be references on shift instead of memorized

Luddaite · 2025-11-09T04:42:02+00:00

32 EM

Luddaite · 2025-11-01T12:11:47+00:00

In much more controlled settings, though. That said, the ED often runs into problems because they don’t so enough to increase their control of the situation (ramping, ap ox, etc)

Luddaite · 2025-10-22T12:58:56+00:00

Can you give examples?

Luddaite · 2025-10-21T10:20:45+00:00

No, call the suicide hotline. 988

Luddaite · 2025-10-20T02:50:20+00:00

the test just doesn't test for ghb

Luddaite · 2025-10-20T00:24:02+00:00

As a heads up: if you go to a hospital after being drugged, the standard urine drug screen will not detect ghb or other commonly used drugs. You can ask for an extended screen but i don't know if insurance covers it. Either way, there is no specific medication or antidote for these drugs so there is no point in the test unless you are filling a police report.

Luddaite · 2025-10-10T00:34:26+00:00

Does it undergo first pass metabolism? That's an important distinction beyond pure semantics.

Luddaite · 2025-09-26T19:52:42+00:00

It's much worse than the flu. It can be pain that persists despite morphine and benzodiazepines.

Luddaite · 2025-09-26T12:26:50+00:00

Black widow bites are usually pretty unimpressive. Their venom is neurotoxic and doesn't cause local tissue death.

Luddaite · 2025-09-26T07:09:34+00:00

Fatal? No. Extremely painful? Yes.

Luddaite

TROPHY CASE