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Poisoning: quick reference for antidotes and initial management

…In salicylate poisoning, intubation with an inadequate minute ventilation can rapidly worsen the acidaemia and increase the entry of salicylate into the central nervous system…

Cardiac arrest in intoxication (poisoning)

…essential to provide supportive care and maintain vital functions artificially until the substance undergoes renal elimination, hepatic elimination or is removed by means of dialysis…

Urinary alkalinisation

…without reliable measurement of urine output. Baseline tests: blood gas with electrolytes, sodium, potassium, ionised calcium, creatinine, CK in rhabdomyolysis, and salicylate concentration in poisoning…

Nasogastric tube

…and choose the more patent one. Ask the patient about a previous nasal fracture or unilateral nasal obstruction. 2. Measure the depth of insertion by…

Transcutaneous and transvenous pacing

…Bradycardia in poisoning with a beta blocker, a calcium channel blocker or digitalis, while awaiting the antidote and specific treatment. Bradyasystole during and after cardiac…

Delirium in older adults: quick reference

…distress. Delirium is an acute neuropsychiatric syndrome and a clinical diagnosis, often described as acute brain failure. It is precipitated by somatic illness, drugs, poisoning…

Gastric lavage and activated charcoal

…modern treatment of poisoning. Charcoal also does not bind every poison. With the following substances charcoal is ineffective and management is instead governed by the…

Liver parameters

…limit of normal: paracetamol poisoning, ischaemic hepatitis ("shock liver") or acute viral hepatitis. The three are distinguished by the history and the speed of the…

Oxygen therapy

…oxygen concentration is given irrespective of the saturation Carbon monoxide poisoning. The pulse oximeter does not distinguish carboxyhaemoglobin from oxyhaemoglobin and shows a falsely normal…

Deceased donor organ donation

…period, for example after poisoning, since this is not compatible with a DCD process. The assessment of medical suitability is made by the transplant team…

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