Staggered Paracetamol Overdose

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STEM: A 16yr old female presented to the emergency department at 0100 after taking an overdose of paracetamol.  She is normally fit and well with no past medical history.  She is alert and looks well, with normal vital signs.  She has taken standard immediate-release paracetamol – 40x500mg at 1930 and 20x500mg at 2200. [expand title = “RESUSCITATION”] A / B / C […]

Approach to the Poisoned Patient

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Below is a systematic approach to the poisoned patient derived from the Toxicology Handbook. [expand title=”RESUSCITATION”] Poisoned patients are at risk due to the dynamic nature of toxin metabolism. Airway Consider corrosive agents and direct airway injury Stridor, dysphagia, dysphonia Threats to airway from CNS depression Excess secretions from cholinergic agents Consider early intubation Breathing Consider compensatory respiratory alkalosis in […]