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Poisoning: quick reference for antidotes and initial management

…Ventilate by mask in opioid induced respiratory depression while naloxone is prepared C Pulse, blood pressure, peripheral perfusion, two intravenous cannulae and continuous ECG monitoring…

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…

Urinary alkalinisation

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

Nasogastric tube

…the lung. No tube may be used before its position has been verified by an approved method, and auscultation is not such a method. Indications…

Drugs in the emergency setting

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

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…

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…

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…

Gastric lavage and activated charcoal

…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…

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…

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