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Urinary alkalinisation

…is disputed and practice differs between units. Poisoning with other weak acids where the poison control centre recommends it, for example certain phenoxy acid herbicides…

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

…A markedly raised GGT with the other tests normal is most often enzyme induction by alcohol or drugs and is often of no clinical significance…

Delirium in older adults: quick reference

…syndrome and a clinical diagnosis, often described as acute brain failure. It is precipitated by somatic illness, drugs, poisoning, withdrawal, surgery or several concurrent factors…

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

…for the cause instead. Conditions in which the highest possible oxygen concentration is given irrespective of the saturation Carbon monoxide poisoning. The pulse oximeter does…

Gastric lavage and activated charcoal

…serious poisonings in which the patient reaches hospital early. The benefit of both methods falls steeply with the time since ingestion, and both can harm…

Poisoning: quick reference for antidotes and initial management

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

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

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

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