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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)

…Unfractionated Heparin Protamine Valproic acid L carnitine (limited evidence) Warfarin Vitamin K Fresh frozen plasma Prothrombin complex concentrate Actions in suspected poisoning and cardiac arrest…

Urinary alkalinisation

…differs between units. Poisoning with other weak acids where the poison control centre recommends it, for example certain phenoxy acid herbicides (2,4 D, MCPA)…

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…

Transcutaneous and transvenous pacing

…mean nothing. Capture is verified only when every pacing spike is followed by a wide QRS complex and a pulse that can be felt. The…

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…

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…

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

…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…

Deceased donor organ donation

…period, for example after poisoning, since this is not compatible with a DCD process. The assessment of medical suitability is made by the transplant team…

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