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Cardiac arrest in intoxication (poisoning)

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…

Transcutaneous and transvenous pacing

…bundle branch block in acute anterior infarction, and before drugs or procedures with a known risk of bradycardia. Transvenous pacing is chosen when the need…

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…

Drugs in the emergency setting

…the neurological outcome in cardiac arrest. High quality compressions with minimal interruptions and early defibrillation are what determine the outcome; drugs are given without pausing…

Status epilepticus: quick reference for emergency treatment

…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…

Poisoning: quick reference for antidotes and initial management

…analytical methods and treatment protocols that are available where you practise. Initial management of all poisonings ABCDE Step Assessment and action : : A Assess the airway…

Urinary alkalinisation

…of weak acids by keeping them in a charged form in the tubular fluid, where they cannot be reabsorbed. The treatment looks simple — bicarbonate and…

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…

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…

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