Paliperidone overdose with delayed onset of toxicity.

Abstract:

:Paliperidone, or 9-hydroxy risperidone, is the newest atypical antipsychotic agent to be approved for use by the Food and Drug Administration. Despite being the primary active metabolite of risperidone, paliperidone differs in several ways from risperidone. The most notable difference is that paliperidone is formulated as an extended-release product. We present a case of a 14-year-old, 59-kg girl with a history of psychosis and major depressive disorder who developed toxicity after an ingestion of 180 mg (3.1 mg/kg) of paliperidone. This case is not only one of the first cases of paliperidone overdose described in the literature but also is unique in that it describes delayed onset of toxicity, as well as extended duration of symptoms.

journal_name

Ann Emerg Med

authors

Levine M,Lovecchio F,Tafoya P,Graham R

doi

10.1016/j.annemergmed.2010.10.015

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

80-2

issue

1

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(10)01708-7

journal_volume

58

pub_type

杂志文章
  • Alveolar-arterial oxygen gradients in elderly patients with suspected pulmonary embolism.

    abstract:STUDY OBJECTIVE:To determine the usefulness of the alveolar-arterial oxygen gradient for detecting pulmonary embolism in elderly patients presenting to the emergency department. DESIGN:Retrospective cohort analysis. SETTING:Two university-affiliated community hospitals. TYPE OF PARTICIPANTS:Consecutive patients more...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)80985-0

    authors: Jones JS,VanDeelen N,White L,Dougherty J

    更新日期:1993-07-01 00:00:00

  • Electrolytes, BUN, creatinine: who's at risk?

    abstract::Electrolytes, BUN, and creatinine are some of the most frequently ordered laboratory tests. The use of these tests in emergency practice has not been studied critically, and few investigations of their use in other disciplines have been performed. A review of the available literature and an analysis of medical problem...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(86)80586-8

    authors: Checchio LM,Como AJ

    更新日期:1986-03-01 00:00:00

  • Olfactory and gustatory hallucinations presenting as partial status epilepticus because of glioblastoma multiforme.

    abstract::Olfactory and gustatory hallucinations are not often encountered in the acute care setting but may represent the subtle presenting features of a significant underlying disease process. We describe a patient whose most striking presenting symptoms were of olfactory and gustatory hallucinations and in whom the diagnosis...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2010.02.020

    authors: Capampangan DJ,Hoerth MT,Drazkowski JF,Lipinski CA

    更新日期:2010-10-01 00:00:00

  • Ultrasound detection of ventricular fibrillation disguised as asystole.

    abstract::Ultrasonography in the emergency department is being used for many purposes, including the evaluation of patients with cardiac arrest. Ultrasound testing has been shown to be useful in such patients in determining the presence of true electromechanical dissociation and pericardial effusions. We report a case of ventri...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(99)70372-0

    authors: Amaya SC,Langsam A

    更新日期:1999-03-01 00:00:00

  • Introduction to biostatistics: Part 2, Descriptive statistics.

    abstract::Descriptive statistics include measures of central tendency and variability. Measures of central tendency include mean, median, and mode. The mean is the arithmetic average of data from interval or ratio scales. The median reflects the 50th percentile score. The mode is the most frequently occurring value of a data di...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)82052-9

    authors: Gaddis GM,Gaddis ML

    更新日期:1990-03-01 00:00:00

  • Examining renal impairment as a risk factor for acute coronary syndrome: a prospective observational study.

    abstract:STUDY OBJECTIVE:This study seeks to examine whether the finding of an abnormal estimated glomerular filtration rate (eGFR) in the emergency department (ED) was associated with acute coronary syndrome in the population of patients presenting for investigation of chest pain. METHODS:We used prospectively collected data ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.annemergmed.2013.01.011

    authors: Greenslade JH,Cullen L,Kalinowski L,Parsonage W,Palmer S,Aldous S,Richards M,Chu K,Brown AF,Troughton R,Pemberton C,Than M

    更新日期:2013-07-01 00:00:00

  • Intravenous adenosine in the emergency department management of paroxysmal supraventricular tachycardia.

    abstract:STUDY PURPOSE:To evaluate the efficacy of adenosine in the treatment of emergency department patients with spontaneous paroxysmal supraventricular tachycardia (PSVT). DESIGN:An eight-month prospective outcome study. POPULATION:Patients 16 or more years old with PSVT by surface ECG criteria. Patients were excluded if ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)80829-7

    authors: Cairns CB,Niemann JT

    更新日期:1991-07-01 00:00:00

  • Electronic control device exposure: a review of morbidity and mortality.

    abstract::The use of electronic control devices has expanded worldwide during the last few years, the most widely used model being the Taser. However, the scientific knowledge about electronic control devices remains limited. We reviewed the medical literature to examine the potential implications of electronic devices in terms...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.annemergmed.2011.01.023

    authors: Pasquier M,Carron PN,Vallotton L,Yersin B

    更新日期:2011-08-01 00:00:00

  • Annals of Emergency Medicine Journal Club. Risk prediction with procalcitonin and clinical rules in community-acquired pneumonia.

    abstract::WHAT IS ALREADY KNOWN ON THIS TOPIC: Procalcitonin is a biomarker that appears to correlate with bacterial infection. WHAT QUESTION THIS STUDY ADDRESSED: Does a procalcitonin level add prognostic information for pneumonia patients in conjunction with scoring systems such as the Pneumonia Severity Index or CURB-65? WHA...

    journal_title:Annals of emergency medicine

    pub_type: 评论,杂志文章

    doi:10.1016/j.annemergmed.2008.05.033

    authors: Menchine MD,Barrett TW,Schriger DL

    更新日期:2008-07-01 00:00:00

  • Effect of dehydration on cardiovascular responses and electrolytes after hypertonic saline/dextran treatment for moderate hemorrhage.

    abstract:STUDY OBJECTIVE:To determine if hypertonic saline/dextran (HSD) is effective in treating hemorrhage in the presence of dehydration. DESIGN:After surgical preparation, swine were euhydrated or dehydrated for 24 or 48 hours. Animals were bled 25 mL/kg over 60 minutes and treated with HSD. SETTING:Laboratory. PARTICIPA...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)80143-x

    authors: Wade CE,Tillman FJ,Loveday JA,Blackmon A,Potanko E,Hunt MM,Hannon JP

    更新日期:1992-02-01 00:00:00

  • Sublingual hyoscyamine sulfate in combination with ketorolac tromethamine for ureteral colic: a randomized, double-blind, controlled trial.

    abstract:STUDY OBJECTIVE:We evaluate the safety and efficacy of a single dose of hyoscyamine sulfate in combination with ketorolac tromethamine for the reduction of pain in emergency department patients with ureteral colic. METHODS:We conducted a prospective, randomized, double-blind study at 2 EDs with residency programs in e...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1067/mem.2001.113133

    authors: Jones JB,Giles BK,Brizendine EJ,Cordell WH

    更新日期:2001-02-01 00:00:00

  • Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures.

    abstract::This clinical policy focuses on critical issues in the evaluation and management of adult patients with seizures. The medical literature was reviewed for articles that pertained to the critical questions posed. Subcommittee members and expert peer reviewers also supplied articles with direct bearing on this policy. Th...

    journal_title:Annals of emergency medicine

    pub_type: 指南,杂志文章,实务指引

    doi:10.1016/S019606440400068X

    authors: ACEP Clinical Policies Committee.,Clinical Policies Subcommittee on Seizures.

    更新日期:2004-05-01 00:00:00

  • Compliance with a standard for the emergency department management of epileptics who present after an uncomplicated convulsion.

    abstract::We conducted a retrospective chart review to determine whether the treatment of uncomplicated convulsions in emergency department patients with a history of epilepsy complied with a clinical standard and whether the degree of compliance with the standard was related to the treating physician's specialty or postgraduat...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(05)82336-4

    authors: Baraff LJ,Schriger DL,Starkman S

    更新日期:1990-04-01 00:00:00

  • Tracheobronchial disruption: delayed diagnosis.

    abstract::Traumatic rupture of the tracheobronchial tree is an increasingly occurring complication of blunt chest trauma. Early detection and surgical repair are important for definitive and successful reconstruction. Bronchoscopy is the most reliable diagnostic procedure. Use of a rigid bronchoscope is difficult and traumatic ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(80)80386-6

    authors: Lee TS,Wright BD

    更新日期:1980-05-01 00:00:00

  • A method for reviewing radio-telemetry paramedic calls.

    abstract::A method is presented for reviewing the taped radio-telemetry records of paramedic calls managed by hospital-based emergency medicine residents. All paramedic calls to the LAC/USC base station are reviewed by an emergency medicine resident using a special tape review form which focuses on communication skills, initial...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(81)80458-1

    authors: Rottman SJ,FitzGerald-Westby K

    更新日期:1981-01-01 00:00:00

  • Successful resuscitation of a severely hypothermic neonate.

    abstract::A profoundly hypothermic 5-hour-old infant in cardiac arrest was brought to the emergency department by paramedics. The infant was found wrapped in a garbage bag inside a freezer. She had been in the freezer for approximately four hours. Her initial rectal temperature was 16.2 degrees C. Active external and core warmi...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(94)70369-8

    authors: Thompson DA,Anderson N

    更新日期:1994-06-01 00:00:00

  • Intravenous morphine plus ketorolac is superior to either drug alone for treatment of acute renal colic.

    abstract:STUDY OBJECTIVE:To study the efficacy of intravenous ketorolac, morphine, and both drugs in combination in reducing pain in acute renal colic. METHODS:We conducted a prospective, double-blinded, randomized controlled trial in an urban, teaching emergency department. Patients aged 18 to 55 years and with a clinical dia...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.annemergmed.2006.03.013

    authors: Safdar B,Degutis LC,Landry K,Vedere SR,Moscovitz HC,D'Onofrio G

    更新日期:2006-08-01 00:00:00

  • Patient satisfaction as a function of emergency department previsit expectations.

    abstract:STUDY OBJECTIVES:This study measures the effect of meeting emergency department (ED) patients' expectations for diagnostic and therapeutic interventions on patient satisfaction. METHODS:This was a cross-sectional study of consecutive patients during block enrollment periods surveyed at the beginning and end of their E...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2009.01.024

    authors: Toma G,Triner W,McNutt LA

    更新日期:2009-09-01 00:00:00

  • Effects of sodium dichloroacetate dose. Brain metabolites associated with cerebral ischemia.

    abstract::Excessive brain lactate, as may develop in cerebral ischemia, has been implicated as a major cause of irreversible cell damage. With an experimental model that produces cerebral ischemia by bilateral carotid ligation combined with systemic hypotension, previous studies have shown that treatment with 25 mg/kg sodium di...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(89)80054-x

    authors: Dimlich RV,Timerding BL,Kaplan J,Cammenga R,Van Ligten PF

    更新日期:1989-11-01 00:00:00

  • Emergency medicine and the academic health center.

    abstract::The last 3 to 5 years have witnessed a tremendous change in direction for the academic health center. The major trends in this regard are increased importance of managed care, cost consciousness, development of a clinical system, pressure to downsize graduate medical education, and increased competition. ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(97)70045-3

    authors: McCabe JB

    更新日期:1997-12-01 00:00:00

  • County-Level Variation in Emergency Department Admission Rates Among US Medicare Beneficiaries.

    abstract:STUDY OBJECTIVE:Hospital-based emergency departments (EDs) are the gateway to hospital admissions for many Americans. Approximately half of all US hospital admissions originate from EDs, and more than 3 in 4 are among Medicare beneficiaries. Recent literature has demonstrated nearly 2-fold variation in both physician- ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2016.03.019

    authors: Caines K,Shoff C,Bott DM,Pines JM

    更新日期:2016-10-01 00:00:00

  • Significance of symptoms and signs in patients with traumatic aortic rupture.

    abstract::The records of 50 patients with traumatic aortic rupture (Group I) and 50 patients with blunt chest trauma but negative aortograms (Group II) were reviewed retrospectively. Symptoms and signs referable to the chest and thoracic aorta were recorded and compared in Group I and Group II patients. Each patient's chart was...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(84)80659-9

    authors: Sturm JT,Perry JF Jr,Olson FR,Cicero JJ

    更新日期:1984-10-01 00:00:00

  • Rapid-sequence intubation of the pediatric patient. Pediatric Emergency Medicine Committee of the American College of Emergency Physicians.

    abstract::Airway compromise is the most common cause of death and severe morbidity in acutely ill and injured children. Rapid-sequence intubation (RSI) is a technique for emergency airway control designed to maximize successful endotracheal intubation while minimizing the adverse physiologic effects of this procedure. RSI requi...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(96)70140-3

    authors: Gerardi MJ,Sacchetti AD,Cantor RM,Santamaria JP,Gausche M,Lucid W,Foltin GL

    更新日期:1996-07-01 00:00:00

  • The Hyatt Regency skywalk collapse: an EMS-based disaster response.

    abstract::The Hyatt Regency skywalk collapse (July 17, 1981) provided the emergency medical services system of Kansas City, Missouri, with its greatest challenge ever. Utilizing an EMS-based, centralized, city-wide disaster plan, the rescue operation encountered 113 dead and 188 multiply traumatized patients. The rescue operati...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(83)80203-0

    authors: Orr SM,Robinson WA

    更新日期:1983-10-01 00:00:00

  • Emergency medicine tools to manage smallpox (vaccinia) vaccination complications: clinical practice guideline and policies and procedures.

    abstract::In December 2002, the federal government began a program to immunize approximately 500000 civilian public health and health care workers with smallpox (vaccinia) vaccine as a part of our pre-event defense against bioterrorism. First responders will likely follow, and the general US population might be offered vaccinat...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-0644(03)00629-2

    authors: Thorne CD,Hirshon JM,Himes CD,McDiarmid MA

    更新日期:2003-11-01 00:00:00

  • Do All Children Who Present With a Complex Febrile Seizure Need a Lumbar Puncture?

    abstract:STUDY OBJECTIVE:We assess the prevalences of bacterial meningitis and herpes simplex virus meningoencephalitis (HSV-ME) in children with a complex febrile seizure and determine these prevalences in the subgroup of children with a clinical examination result not suggestive of meningitis or encephalitis. METHODS:This mu...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.annemergmed.2016.11.024

    authors: Guedj R,Chappuy H,Titomanlio L,De Pontual L,Biscardi S,Nissack-Obiketeki G,Pellegrino B,Charara O,Angoulvant F,Denis J,Levy C,Cohen R,Loschi S,Leger PL,Carbajal R

    更新日期:2017-07-01 00:00:00

  • Coronary computed tomographic angiography for rapid discharge of low-risk patients with potential acute coronary syndromes.

    abstract:STUDY OBJECTIVE:Coronary computed tomographic (CT) angiography has excellent performance characteristics relative to coronary angiography and exercise or pharmacologic stress testing. We hypothesize that coronary CT angiography can identify a cohort of emergency department (ED) patients with a potential acute coronary ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2008.09.025

    authors: Hollander JE,Chang AM,Shofer FS,McCusker CM,Baxt WG,Litt HI

    更新日期:2009-03-01 00:00:00

  • Effect of Educational Debt on Emergency Medicine Residents: A Qualitative Study Using Individual Interviews.

    abstract:STUDY OBJECTIVE:In 2001, less than 20% of emergency medicine residents had more than $150,000 of educational debt. Our emergency medicine residents anecdotally reported much larger debt loads. Surveys have reported that debt affects career and life choices. Qualitative approaches are well suited to explore how and why ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/j.annemergmed.2016.04.013

    authors: Young TP,Brown MM,Reibling ET,Ghassemzadeh S,Gordon DM,Phan TH,Thomas TL,Brown L

    更新日期:2016-10-01 00:00:00

  • Abdominal CT scanning in pediatric blunt trauma.

    abstract::The use of the emergency IV contrast-enhanced abdominal computed tomography (CT) scanning was evaluated in 90 pediatric patients sustaining blunt abdominal trauma. Medical records, CT scans, and operative and postmortem reports, when applicable, were reviewed retrospectively. By identifying the organs of injury, CT sc...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章

    doi:10.1016/s0196-0644(88)80611-5

    authors: Haftel AJ,Lev R,Mahour GH,Senac M,Akhtar Shah SI

    更新日期:1988-07-01 00:00:00

  • Improved outcomes in patients with acute allergic syndromes who are treated with combined H1 and H2 antagonists.

    abstract:STUDY OBJECTIVE:Although the addition of H(2) blockers to H(1) antagonists has been promoted for use in anaphylaxis, there have been no large studies establishing the advantage of this approach in treating acute allergic syndromes. In this study we tested the hypothesis that combined H(1) and H(2) blockage results in i...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1067/mem.2000.109445

    authors: Lin RY,Curry A,Pesola GR,Knight RJ,Lee HS,Bakalchuk L,Tenenbaum C,Westfal RE

    更新日期:2000-11-01 00:00:00