Emergency Medical Minute

Tox Talks 2025 Recap 2, Methemoglobinemia and Errors

Published: February 4, 2026

Duration: 41:09

Contributors: Travis Barlock MD, Ian Gillman PA, Jacob Altholz MD, Jeffrey Olson MS4

In this episode, EM attending Travis Barlock and medical student Jeffrey Olson listen in to the two remaining cases presented from EMM's recent event, Tox Talk 2025. 

Talk 1- Methemoglobinemia- Ian Gillman

Cyanosis + chocolate-colored blood + normal PaO₂ + pulse ox stuck at ~85% = Methemoglobinemia → Treat with methylene blue

The medications that can cause it can be remembered with…

Watch out with methylene blue as it can cause serotonin syndrome

While treating with methylene blue the pulse ox can dro...