Poisoning; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 15 October 2020

⏱️ 61 minutes

🔗️ Recording | iTunes | RSS

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Summary

So in our Toxidrome Roadside to Resus episode we covered the initial management of a poisoned patient, some of the constellation of features to look out for and the specific management. But what about specific agents and circumstances that require particular knowledge and management both in the prehospital environment and in ED?

Well in this episode we’ll cover these by running through;

Paracetamol poisoning and treatment
Calcium channel blocker overdose
Beta blocker overdose
High dose insulin euglycaemic therapy
Activated charcoal
Intralipid therapy
Cardiac arrest due to toxicology

We'd love to hear any comments or feedback you have and make sure to take a look at the references and resources below.

Enjoy!

Simon, Rob & James

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.2	So hi, and welcome back to the recess room podcast.
0:15.5	I'm Simon Lang.
0:16.8	I'm Rob Plymouth.
0:17.9	And I'm James Yates.
0:19.1	And we're back with a follow- on to toxodromes with poisoning.
0:22.8	Yeah, we are.
0:23.2	So last time, like you say, we talked all about toxidromes.
0:25.8	So those syndromes and those sort of specific constellations of symptoms that we could pick up
0:31.0	to identify a range of medications that might be involved.
0:34.9	But this time we thought it was worth just honing in on some of
0:37.7	those really high risk and some of the more common substances that we see in overdose.
0:43.4	That's it. Back-to-back episodes, both related. Someone must be planning this stuff, eh?
0:48.6	I wouldn't go that far. But we're going to run through right to the critically and well-patient.
0:52.8	So if you're just here for the sickest of the sick, don't worry.
0:55.8	We'll be covering toxicology and cardiac arrest as well.
0:59.1	So there's something in here for everyone.
1:02.0	Now, before we get into it, a big thanks to S.J. Trem, who partner with us on the podcast,
1:06.8	the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
1:10.8	As you might expect, they published papers on trauma, Resuscitation and Emergency Medicine. As you might expect,
1:11.7	they publish papers on trauma, resuscitation and emergency medicine, all the sorts of topics you
	...

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