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{
    "pk": 7749,
    "title": "Paralytic Shellfish Poisoning: A Case Series",
    "subtitle": null,
    "abstract": "We describe a case series of seven patients presenting to an emergency department with symptoms of paralytic shellfish poisoning. They developed varying degrees of nausea, vomiting, diarrhea, weakness, ataxia and paresthesias after eating mussels harvested from a beach near their resort. Four patients were admitted to the hospital, one due to increasing respiratory failure requiring endotracheal intubation and the remainder for respiratory monitoring. All patients made a full recovery, most within 24 hours. The ability to recognize and identify paralytic shellfish poisoning and manage its complications are important to providers of emergency medicine. [West J Emerg Med. 2014;15(4):378-381.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "Paralytic shellfish poisoning, marine toxin"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/43r6v4tk",
    "frozenauthors": [
        {
            "first_name": "William",
            "middle_name": "",
            "last_name": "Hurley",
            "name_suffix": "",
            "institution": "Washington Poison Control Center, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Cameron",
            "middle_name": "",
            "last_name": "Wolterstorff",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma,\nWashington",
            "department": "None"
        },
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "MacDonald",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma,\nWashington",
            "department": "None"
        },
        {
            "first_name": "Debora",
            "middle_name": "",
            "last_name": "Shultz",
            "name_suffix": "",
            "institution": "Washington Poison Control Center, Seattle, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2014-01-24T19:38:55-08:00",
    "date_accepted": "2014-01-24T19:38:55-08:00",
    "date_published": "2014-05-23T10:32:23-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7749/galley/4533/download/"
        }
    ]
}