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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)

…of poisoning. Decontamination Disrobe the patient of any attire possibly contaminated with the toxicant. Irrigate skin and eyes using saline solution (NaCl) if suspected of…

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…

Transcutaneous and transvenous pacing

…Twitching of the chest muscles and spikes on the screen mean nothing. Capture is verified only when every pacing spike is followed by a wide…

Hyponatraemia: quick reference for work-up and correction

…urine osmolality and urine sodium before treatment. 5. With severe symptoms: give hypertonic saline immediately. Do not wait for a complete work up 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…

Status epilepticus: quick reference for emergency treatment

…dose of a benzodiazepine About 10 minutes Repeat the benzodiazepine once if the seizure persists, and prepare step 2 at the same time By about…

Urinary alkalinisation

…effect; it is part of the treatment itself. Indications Salicylate poisoning with symptoms or a rising serum concentration. Alkalinisation increases renal elimination several fold and…

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…

Drugs in the emergency setting

…second attempt). Vasoactive infusions Drug Dose range Primary effect Used in : : : : Noradrenaline 0.05–0.5 µg/kg/min α₁ — vasoconstriction Septic and distributive shock

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