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 & ObjectivesText-BasedMultimediaSupplements
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:
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Pharmacy:
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:
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Pharmacy:
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:
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Pharmacy:

Foundations 2

Unit & ObjectivesText-BasedMultimediaSupplements
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:
FOAMed:
Podcasts
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:
FOAMed:
Podcasts
Pharmacy:
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:
FOAMed:
Podcasts