Tox / Environmental

Foundations 1 | Foundations 2

FoEM Learning Pathways provide vetted self-study resources that pair with our flipped classroom Foundations I (F1) and II (F2) course units.  To ensure your learning time is as high-yield as possible, use each unit’s objective list to guide your independent study before Foundations meetings.  Learning Pathways offer a variety of specifically paired resources to best suit your learning preferences.  For more details about specific resources and strategic use, visit our Learning Pathways How-To page.

Foundations 1

Unit & Objectives	Text-Based	Multimedia	Supplements
Tox I: Toxidromes and Poisoning I Objectives: Identify clinical features, diagnosis and acute management of the following conditions: Undifferentiated Toxic Ingestion Toxic Alcohol Alcohol Withdrawal Aspirin MAOI TCA SSRI SNRI Serotonin Syndrome Sympathomimetic Hallucinogen Lithium Antipsychotics Neuroleptic Malignant Syndrome Barbituates Opioids Benzodiazepine	Rosen's Text (10th): Ch 135, 136, 137, 139, 141, 144, 145, 149, 150, 151, 154 Tintinalli's Text (9th): Ch 176, 177, 178, 179, 180, 181, 182, 183, 185, 186, 187, 188, 189 Tintinalli's Manual (8th): Ch 100, 102, 103, 104, 105, 106, 108	EB Medicine: Alcohol Withdrawal Sedative Withdrawal Toxic Alcohols FOAMed: emDocs: Poisoned Pt EMCases: TCA OD Podcasts: Core EM: Toxic Alcohols Core EM: Salicylate	Frameworks: Approach to Tox Toxidromes Pharmacy: Phenobarb for ETOH WD CHS Bup for MAT
Tox II: Toxidromes and Poisoning II Objectives: Identify clinical features, diagnosis and acute management of the following conditions: Acetaminophen Anticholinergic Organophosphate Digoxin Calcium Channel Blocker Beta Blocker Clonidine Nitrate Causic Ingestion Iron Lead Hydrocarbon Carbon Monoxide Cyanide Nicotine Toxic Mushroom Phenytoin	Rosen's Text (10th): Ch 138, 140, 142, 143, 146, 147, 148, 152, 153 [no phenytoin] Tintinalli's Text (9th): Ch 190, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201, 202, 203, 204, 220, 222 Tintinalli's Manual (8th): Ch 101, 107, 109, 110, 111, 112, 113, 114, 115, 127, 128	EB Medicine: CCB/BB/Dig OD Lead FOAMed: ALiEM: Acetaminophen EMCases: S&L Poison Podcasts: EM Basic: Acetaminophen Core EM: Anticholinergic Core EM: CO Poisoning	Frameworks: Toxidromes Pharmacy: BB and CCB OD Physostigmine
Environmental: Environmental Exposures Objectives: Identify clinical features, diagnosis and acute management of the following conditions: Mammalian Bite (dog, cat, human) Venomous Snake Bite Venomous Spider Bite Frostbite Hypothermia Heat Exhaustion Heat Stroke Pulmonary Barotrauma (scuba) Decompression Sickness Arterial Gas Embolism Acute Mountain Sickness HACE HAPE Drowning Acute Radiation Syndrome	Rosen's Text (10th): Ch 52, 53, 128, 129, 131, 132, 133, 134 Tintinalli's Text (9th): Ch 10, 46, 208, 209, 210, 211, 212, 214, 215, 216 Tintinalli's Manual (8th): Ch 15, 118, 119, 120, 122, 123, 122, 123, 124	EB Medicine: Altitude Illness Snakes (Pearls) Hypothermia FOAMed: FOAMcast: Altitude Taming SRU: Snake Bites REBEL EM: Dog Bites Podcasts: Core EM: Bites EM Basic: Hyperthermia Core EM: Bites/Stings	Frameworks: Hypothermia Pharmacy: Crotalid Bite

Foundations 2

Unit & Objectives	Text-Based	Multimedia	Supplements
Tox I: Common ODs & Toxic Alcohols Objectives: Identify clinical features, diagnosis and acute management of the following conditions: Critically Ill Toxic Ingestion Undifferentiated Acidosis Toxic Alcohol Ingestion Salicylate Toxicity Acetaminophen Toxicity	Critical Care EM (2nd, Farcy) Ch 49, 50, 51, 52 Critical Care Med (5th, Parillo) Ch 54, 65 Primary Literature: Article 1 Article 2 Article 3	EB Medicine: Acid-Base FOAMed: Salicylates Toxic Alcohols Acetaminophen Podcasts IBCC: Toxic Alcohols IBCC: Salicylates IBCC: Acetaminophen
Tox II: Toxic Bradycardia & Hyperthermia Objectives: Identify clinical features, diagnosis and acute management of the following conditions: Neuroleptic Malignant Syndrome Dystonic Reactions Serotonin Syndrome Malignant Hyperthermia Anticholinergic Toxicity Sympathomimetic Toxicity Delirium Tremens Calcium Channel Blocker Toxicity Beta Blocker Toxicity Digoxin Toxicity Pacing	Critical Care EM (2nd, Farcy) Ch 49, 50 Critical Care Med (5th, Parillo) Ch 5, 65, 66 Primary Literature: Article 1 Article 2 Article 3 Article 4	EB Medicine: Tox Brady FOAMed: Serotonin Syn Anticholinergics CCB & BB OD Podcasts IBCC: Buproprion IBCC: Serotonin Syn	Pharmacy: BB and CCB OD Physostigmine
Environmental: Environmental Emergencies Objectives: Identify clinical features, diagnosis and acute management of the following conditions: Hyperthermia Heat Exhaustion Heat Stroke Hypothermia Drowning	Critical Care EM (2nd, Farcy) None Critical Care Med (5th, Parillo) Ch 66 Primary Literature: Article 1 Article 2 Article 3	EB Medicine: Hypothermia (peds) Heat Illness (peds) FOAMed: Heat Illness Hypothermia Podcasts IBCC: Hypothermia IBCC: Hyperthermia REBEL Cast: Frostbite