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Cardiac arrest in intoxication (poisoning)

…carboxypeptidase G2) Opioids Naloxone Organophosphates Atropine Pralidoxime Sulfonylurea Octreotide Thallium Prussian blue Tricyclic Antidepressants Sodium Bicarbonate Unfractionated Heparin Protamine Valproic acid L carnitine (limited evidence…

Drugs in the emergency setting

…hypocalcaemia, calcium channel blocker poisoning 0.2 mL/kg Sodium bicarbonate 50 mmol in hyperkalaemia or tricyclic poisoning 1 mmol/kg Reversible causes: hypoxia, hypovolaemia…

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…

Urinary alkalinisation

Procedurer Alkalinising the urine increases the excretion of weak acids by keeping them in a charged form in the tubular fluid, where they cannot be…

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

…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

…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…

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