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EM Clerkship

Toxic Plants (Deep Dive R32)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 β€’ 795 Ratings

πŸ—“οΈ 15 April 2022

⏱️ 16 minutes

🧾️ Download transcript

Summary

Cardiac Glycoside containing plants : Foxglove, Lilly of the Valley, Oleander, Squill Contain cardiac glycosides, which act as a negative chronotrope as well as a positive inotrope. Patients present with nausea, vomiting, visual changes, bradycardia/arrhythmia, and may develop hyperkalemia – a poor prognostic factor Treatment is Digibind/DigiFAB – look out for the side effects of […]

Transcript

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0:00.7

Hello, students. My name is Mike Estefan, and I thank you for joining me today for this month's deep dive episode on the EM Clerkship Podcast.

0:11.6

Now, I'm not going to lie to you guys. Today's episode is going to be unlike the vast majority of the content we produce.

0:18.6

That is, it isn't going to be particularly high yield, nor will it

0:22.3

likely help you impress your attendings during your shift. But it's one of my personal favorite

0:27.6

topics, and I think it's going to be really fun to go through. Part of being an ER doctor

0:32.4

is being able to handle any complaint at any time, even the once in a career type of cases.

0:39.8

So, today's episode is going to be on toxic plant ingestions.

0:44.9

We are going to talk about plants containing cardiac glycosides, anticholinergic alkaloids,

0:49.9

and various types of poisonous mushrooms.

0:53.1

Before we begin, just a quick word from our sponsors at Pearson Rabbit's Insurance.

0:58.5

If you are a regular listener of our podcast, then you know how important own occupation

1:04.1

disability insurance is. Stephanie Pearson and her team at Pearson Rabbits have the experience

1:10.5

and knowledge of working exclusively with healthcare professionals to obtain this own occupation disability insurance.

1:17.6

Zach and I would not endorse a company that we did not personally believe in on our podcast. Stephanie Pearson is the real deal.

1:26.6

Please check out PearsonRavits at www Please check out Pearson Rabbits at www.com and sign up for a

1:33.2

consultation appointment today with Stephanie Pearson or one of her team members. Now, back to the

1:39.0

episode. Just a reminder like everything else on our podcast, this is not medical advice.

1:46.0

Furthermore, I am not a toxicologist.

1:48.7

If you have ingested one of these plants, please call 911 or your local emergency hotline

1:53.8

immediately.

1:54.7

And if you are treating a patient suspected of ingestion of one of these plants, you should

1:59.1

consult your local toxicologist or poison control center immediately.

...

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