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Gastric lavage and activated charcoal

…in poisoning — it rarely alters the course and adds a risk of aspiration. Repeated doses of charcoal are given in serious poisoning with agents that…

Urinary alkalinisation

…The benefit of alkalinisation over fluids alone is disputed and practice differs between units. Poisoning with other weak acids where the poison control centre recommends…

Transcutaneous and transvenous pacing

…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…

Liver parameters

…tumour, primary biliary cholangitis, drugs Mixed Both raised Drug induced liver injury is the commonest cause Isolated bilirubin Unconjugated, the others normal Gilbert's syndrome…

Delirium in older adults: quick reference

…surroundings Other cognitive disturbance Disorientation, memory impairment, disorganised thinking, language disturbance or perceptual disturbance Organic cause The condition can be linked to illness, drugs, poisoning…

Hyponatraemia: quick reference for work-up and correction

…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…

Oxygen therapy

…litres on a reservoir mask and drifts off into a respiratory acidosis. Treatment is guided by the saturation and the blood gas, not by the…

Poisoning: quick reference for antidotes and initial management

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

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…

Nasogastric tube

…verified by an approved method, and auscultation is not such a method. Indications Decompression in ileus, subacute obstruction or gastric retention — the commonest indication on…

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