Dispatch drops an altered mental status call—but something doesn’t add up. The vitals are off, the glucose is normal, and the story doesn’t quite fit.

In this episode, we dive into the world of obscure and unusual poisonings—the toxins that masquerade as stroke, sepsis, overdose, and psychiatric emergencies. These aren’t your everyday calls, but when they show up, they demand fast recognition and decisive action.

From toxic alcohols and cyanide to organophosphates, methemoglobinemia, and emerging threats like sodium nitrite, we break down the high-yield clues, underlying physiology, and what EMS providers need to do in the moment to keep patients alive.

This episode isn’t about memorizing toxins—it’s about learning to recognize when something isn’t adding up.

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