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Transcutaneous and transvenous pacing

…sick sinus syndrome with long pauses. Bradycardia in poisoning with a beta blocker, a calcium channel blocker or digitalis, while awaiting the antidote and specific…

Poisoning: quick reference for antidotes and initial management

…enhanced elimination. For many poisonings, well delivered supportive treatment matters more than the antidote [1,2]. Telephone your national or regional poison control centre , which…

Cardiac arrest in intoxication (poisoning)

…vital functions artificially until the substance undergoes renal elimination, hepatic elimination or is removed by means of dialysis. Substance Antidot e Paracetamol (Acetaminophen) N Acetylcysteine…

Urinary alkalinisation

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

Nasogastric tube

…its position has been verified by an approved method, and auscultation is not such a method. Indications Decompression in ileus, subacute obstruction or gastric retention —…

Delirium in older adults: quick reference

…often described as acute brain failure. It is precipitated by somatic illness, drugs, poisoning, withdrawal, surgery or several concurrent factors. A diagnosis of delirium is…

Gastric lavage and activated charcoal

…With the following substances charcoal is ineffective and management is instead governed by the antidote, supportive treatment or dialysis: Group Examples : : Metals and salts Iron…

Liver parameters

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

Oxygen therapy

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

Deceased donor organ donation

…service. Contraindications An expressed refusal by the deceased — in the donation register, on a donor card, or through statements made to the next of kin…

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