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Poisoning: quick reference for antidotes and initial management

…dialysis, and whenever the clinical course deviates from what was expected. The poison control centre is the authoritative local source for the current indication, dosing…

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

…and written instructions. Patients taking beta blockers may respond poorly to adrenaline. If there is no response, give glucagon 1–5 mg IV followed by…

Transcutaneous and transvenous pacing

…block) and second degree AV block Mobitz type 2. Marked sinus bradycardia, sinus arrest, sick sinus syndrome with long pauses. Bradycardia in poisoning with a…

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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