Upload
precordialthump
View
708
Download
3
Embed Size (px)
Citation preview
AN APPROACH TO THE! ACUTELY POISONED PATIENT
Chris Nickson FACEM FCICM Intensivist, The Alfred ICU
Financial Conflicts of Interest NO !
http://litfl.org/CONCEPTOS
Photo by Incurable_hippie!
ResusRSI DEAD
ResuscitationRisk Assessment!Supportive care & monitoringInvestigations!DecontaminationEnhanced elimination!AntidotesDisposition!
Resuscitation is the priority!
Photo by Cavin on Flickr!
Airway!BreathingCirculation!Disability (Neuro)Glucose!SeizuresTemperature!Resuscitation antidotes
Risk assessmentis a distinct !
cognitive step!
Photo by Cavin on Flickr!
Drug(s)Dose(s)TimeClinical coursePatient factors
Supportive care & monitoringis the mainstay!
Photo by Cavin on Flickr!
Investigations are only done for specific reasons!
Photo by Cavin on Flickr!
Decontaminationonly 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!
Dispositionis guided by risk
assessment!
Photo by Cavin on Flickr!
Acute poisoning is often a “snapshot” of a pervasive !
psychosocial disorder
ResusRSI DEAD