Acute Poisoned Patient Approach

•

0 gefällt mir•2,033 views

Slides for a talk by Chris Nickson at the Toxicology Workshop at CONCEPTOS 2016 in Chile. See also: http://lifeinthefastlane.com/ccc/conceptos/

Gesundheit & Medizin

AN APPROACH TO THE!
ACUTELY POISONED PATIENT
Chris Nickson FACEM FCICM
Intensivist, The Alfred ICU

Financial
Conflicts of InterestNO!
http://litﬂ.org/CONCEPTOS

Resuscitation
Risk Assessment!
Supportive care & monitoring
Investigations!
Decontamination
Enhanced elimination!
Antidotes
Disposition!

Resuscitation  
is the priority!
Photo by Cavin on Flickr!

Airway!
Breathing
Circulation!
Disability (Neuro)
Glucose!
Seizures
Temperature!
Resuscitation antidotes

Risk assessment 
is a distinct !
cognitive step!
Photo by Cavin on Flickr!

Drug(s)
Dose(s)
Time
Clinical course
Patient factors

Supportive care 
& monitoring 
is the mainstay!
Photo by Cavin on Flickr!

Investigations 
are only done for
speciﬁc reasons!
Photo by Cavin on Flickr!

Decontamination 
only if the beneﬁts
exceed the risks!
Photo by Cavin on Flickr!

Decontamination removes !
toxic agents before !
complete absorption into the
systemic circulation!

Enhanced
elimination 
has few !
indications!
Photo by Cavin on Flickr!

Enhanced elimination removes !
toxic agents from the body!
after systemic absorption!

Antidotes  
are rarely used !
but can be
important!
Photo by Cavin on Flickr!

Disposition 
is guided by risk
assessment!
Photo by Cavin on Flickr!

Acute poisoning is often a
“snapshot” of a pervasive !
psychosocial disorder

Weitere ähnliche Inhalte

Andere mochten auch

Antidotes in the Emergency Departmentprecordialthump

Paracetamol toxicityprecordialthump

Approach to a poisoned childdr jyoti prajapati

Conceptos de medicina y Sistemas de saludLuis de la Barrera

Casarett and doull's toxicology The basic science of poisons, seventh editionSomesh Kakade

Analisis JohorNaqib Bajuri

ToxicologyLinda Fowler

Management protocol of carbon Monoxide poisoningKerolus Shehata

Basic ABG notesKerolus Shehata

Basic Life Support, Bit by Bit approachKerolus Shehata

sickle disease case NITISH SHAH

WheezeTty Lim

The art of becoming a doctorKerolus Shehata

Introduction to toxicology gases and metalsNITISH SHAH

Basic ECG notesKerolus Shehata

ECG from Alpha to OmegaKerolus Shehata

Group v hemorrhagic diseasesiyumva aimable

Basic ecgA.Salam Sharif

Management protocol of organophosphoprus intoxicationKerolus Shehata

First aid training @ work place by Dr.Vivek Gopal BHMS,NDH(NZ),PGDHA & MTDr.Vivek G

Andere mochten auch (20)

Antidotes in the Emergency Department

Paracetamol toxicity

Approach to a poisoned child

Conceptos de medicina y Sistemas de salud

Casarett and doull's toxicology The basic science of poisons, seventh edition

Analisis Johor

Toxicology

Management protocol of carbon Monoxide poisoning

Basic ABG notes

Basic Life Support, Bit by Bit approach

sickle disease case

Wheeze

The art of becoming a doctor

Introduction to toxicology gases and metals

Basic ECG notes

ECG from Alpha to Omega

Group v hemorrhagic diseases

Basic ecg

Management protocol of organophosphoprus intoxication

First aid training @ work place by Dr.Vivek Gopal BHMS,NDH(NZ),PGDHA & MT

Mehr von precordialthump

Ten tips for the resuscitationist 2019precordialthump

Antidotes: Resus Essentials 2019precordialthump

Lung Transplantation by David Pilcherprecordialthump

Severe Burns by Andrew Udyprecordialthump

Nickson training for stress 20170720precordialthump

Mechanical ventilation pitfalls in asthma managementprecordialthump

ECPR by Vincent Pellegrino 2016precordialthump

Why Don't We Wash Our Hands?precordialthump

No apologies: intubation of the shocked patientprecordialthump

Hacking medical education 20150604precordialthump

Euboxia and abnormality smacc goldprecordialthump

We all need to speak upprecordialthump

FOAM for University of Melbourne MD Student Conference 2014precordialthump

Cricolol by John Hinds at smaccGOLDprecordialthump

WICM 2014 Toxicology Quizprecordialthump

Why FOAM?... Facts, Fallacies and Foiblesprecordialthump

SMACC: How to Create a Medical Appprecordialthump

Fever, Friend or Foe? - Paul Young's Talk at SMACCprecordialthump

Toxicological Myths and Half-Truths precordialthump

Social Media and the Internet: The Future of Medical Education?precordialthump

Mehr von precordialthump (20)

Ten tips for the resuscitationist 2019

Antidotes: Resus Essentials 2019

Lung Transplantation by David Pilcher

Severe Burns by Andrew Udy

Nickson training for stress 20170720

Mechanical ventilation pitfalls in asthma management

ECPR by Vincent Pellegrino 2016

Why Don't We Wash Our Hands?

No apologies: intubation of the shocked patient

Hacking medical education 20150604

Euboxia and abnormality smacc gold

We all need to speak up

FOAM for University of Melbourne MD Student Conference 2014

Cricolol by John Hinds at smaccGOLD

WICM 2014 Toxicology Quiz

Why FOAM?... Facts, Fallacies and Foibles

SMACC: How to Create a Medical App

Fever, Friend or Foe? - Paul Young's Talk at SMACC

Toxicological Myths and Half-Truths

Social Media and the Internet: The Future of Medical Education?

Kürzlich hochgeladen

April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATROKanhu Charan

Case Report Peripartum Cardiomyopathy.pptxNiranjan Chavan

Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar

Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Badalona Serveis Assistencials

Giftedness: Understanding Everyday Neurobiology for Self-Knowledgeassessoriafabianodea

Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq

Apiculture Chapter 1. Introduction 2.pptkedirjemalharun

Nutrition of OCD for my Nutritional Neuroscience Classmanuelazg2001

Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics

low cost antibiotic cement nail for infected non union.pptxdrashraf369

Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranTara Rajendran

COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptxBibekananda shah

Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...MehranMouzam

Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners

Biomechanics- Shoulder Joint!!!!!!!!!!!!ibtesaam huma

SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfHongBiThi1

Presentation on General Anesthetics pdf.Prerana Jadhav

Introduction to Sports Injuries by- Dr. Anjali RaiGoogle

Basic principles involved in the traditional systems of medicine PDF.pdfDivya Kanojiya

maternal mortality and its causes and how to reduce maternal mortalityhardikdabas3

Kürzlich hochgeladen (20)

April 2024 ONCOLOGY CARTOON by DR KANHU CHARAN PATRO

Case Report Peripartum Cardiomyopathy.pptx

Culture and Health Disorders Social change.pptx

Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...

Giftedness: Understanding Everyday Neurobiology for Self-Knowledge

Glomerular Filtration and determinants of glomerular filtration .pptx

Apiculture Chapter 1. Introduction 2.ppt

Nutrition of OCD for my Nutritional Neuroscience Class

Hematology and Immunology - Leukocytes Functions

low cost antibiotic cement nail for infected non union.pptx

Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran

COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx

Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...

Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...

Biomechanics- Shoulder Joint!!!!!!!!!!!!

SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf

Presentation on General Anesthetics pdf.

Introduction to Sports Injuries by- Dr. Anjali Rai

Basic principles involved in the traditional systems of medicine PDF.pdf

maternal mortality and its causes and how to reduce maternal mortality