REBEL Core Cast 90.0 / REBEL EM - By Anand Swaminathan - November 16, 2022
Take Home Points
- Methemoglobinemia can result from exposure to a number of different medications. The most common are dapsone and topical anesthetic agents (i.e. benzocaine)
- Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration
- Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25%