…on its own to declare the patient well. Clinical findings, the ECG and targeted concentration measurements carry more weight. Where serious poisoning is suspected, blood…

CPR Poisoning and drug toxicity In adolescents and young adults, intoxication events leading to cardiac arrest are notably prevalent, primarily due to the misuse of…

…Poisoning with other weak acids where the poison control centre recommends it, for example certain phenoxy acid herbicides (2,4 D, MCPA) and methotrexate overdose…

…safely, for example after a stroke. Sampling of gastric contents and evacuation in poisoning (see the separate text on gastric lavage). The tube is not…

…when every pacing spike is followed by a wide QRS complex and a pulse that can be felt. The other predictable error is forgetting that…

…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…

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

…with the other tests normal is most often enzyme induction by alcohol or drugs and is often of no clinical significance. Synthetic function and prognosis…

…saturation and the blood gas, not by the diagnosis alone. Indications Hypoxaemia: a saturation below the target range, or a PaO2 below 8 kPa on…

…by the transplant team. Never rule out a possible donor on your own on grounds of age or medical history — contact the transplant coordinator and…

…and most serious dosing errors arise at the dilution step, not in the choice of dose. Paediatric doses are calculated on actual body weight unless…

…breathing and circulation. 2. Assess the neurological symptoms and at the same time exclude other acute causes, for example hypoglycaemia, poisoning, stroke, meningitis and a…

…or where poisoning, arrhythmia or cardiac involvement is suspected. Transient apnoea, hypoxaemia, a rising lactate, acidosis, hypertension and tachycardia are common during a generalised seizure…

…refractory fluid overload, uraemic symptoms (pericarditis, encephalopathy) and certain poisonings. Early initiation without an absolute indication has not been shown to improve survival. Parameter Guide…