the general approach to the poisoned patient...the general approach to the poisoned patient jill...
TRANSCRIPT
![Page 1: The General Approach to the Poisoned Patient...The General Approach to the Poisoned Patient Jill Theobald MD PhD Medical Toxicology Fellow Toxikon Consortium Emergency Physician But](https://reader034.vdocument.in/reader034/viewer/2022051809/601351ca071af1369d0cb3d3/html5/thumbnails/1.jpg)
The General Approach to the Poisoned Patient
Jill Theobald MD PhD Medical Toxicology Fellow
Toxikon Consortium Emergency Physician
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But really its everywhere
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How to approach the poisoned patient
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is for Airway
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is for Breathing
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is for Cardiovascular
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is for Disability
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Decontamination
Do give charcoal Dilution is the solution to pollution
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Dextrose
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Is for directed therapy
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The most important directed therapy is…
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is for EKG
Its not just the ST segments…
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The intervals are important!
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is also for Enhanced Elimination
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is for Fever
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The most important letter of the alphabet…
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What does every potentially poisoned patient need?
A GOOD PHYSICAL EXAM
CBC CMP
Acetaminophen Salicylate Alcohol Urine EKG
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A quick word about Urine Drug Screens
They are fraught with misinterpretation!
False Positives Amphetamines:
Labetalol Bupropion Sertraline
PCP:
Venlafaxine Ibuprofen
Dextromethorphan
False Negatives Opiates
Benzodiazepines
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So what can you believe?
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I have this tooth ache and all I wanted to do was sleep…
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What? When? How much? Why? Other meds/herbals?
PMH Social history Allergies Previous episodes Anything else
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Get the level!
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