an approach to the acutely poisoned patient
TRANSCRIPT
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AN APPROACH TO THE! ACUTELY POISONED PATIENT
Chris Nickson FACEM FCICM Intensivist, The Alfred ICU
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Financial Conflicts of Interest NO !
http://litfl.org/CONCEPTOS
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Photo by Incurable_hippie!
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ResusRSI DEAD
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ResuscitationRisk Assessment!Supportive care & monitoringInvestigations!DecontaminationEnhanced elimination!AntidotesDisposition!
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Resuscitation is the priority!
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Airway!BreathingCirculation!Disability (Neuro)Glucose!SeizuresTemperature!Resuscitation antidotes
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Risk assessmentis a distinct !
cognitive step!
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Drug(s)Dose(s)TimeClinical coursePatient factors
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Supportive care & monitoringis the mainstay!
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Investigations are only done for specific reasons!
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Decontaminationonly if the benefits exceed the risks!
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Decontamination removes !toxic agents before !
complete absorption into the systemic circulation!
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Enhanced elimination
has few !indications!
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Enhanced elimination removes !toxic agents from the body!after systemic absorption!
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Antidotes are rarely used !
but can be important!
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Dispositionis guided by risk
assessment!
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Acute poisoning is often a “snapshot” of a pervasive !
psychosocial disorder
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ResusRSI DEAD
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