The American journal of emergency medicine
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Case Reports
Near-fatal pediatric methemoglobinemia secondary to intentional sodium nitrite ingestion: A case report.
Methemoglobinemia is the result of inappropriate oxidation of hemoglobin iron groups, leading to a failure of oxygen transport and delivery, resulting in a clinical state of refractory hypoxia. Methemoglobin levels above 70% are often considered fatal. ⋯ This report describes a patient presenting with a methemoglobin level of 83% secondary to intentional sodium nitrite ingestion. The methemoglobin level recorded is amongst some of the highest found in surviving patients.
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Prior research has demonstrated the widespread presence of racial disparities in emergency department (ED) care and analgesia. We hypothesized that racial disparities continue to exist in ED analgesic prescribing patterns, time to analgesia, and time to provider in the treatment of headache. ⋯ Racial disparities persist in assessment and type of analgesia for patients being treated for headache in a large academic emergency department.