Approach to the poisoned patient
In this chapter, we'll cover the basics of poisoned patient care in the acute setting, with elements of the toxicologic physical exam and the ABCDEFs of bedside management.
- Approach to the poisoned patient intro
- Examining the poisoned patient
- Managing the ABCs
- Using gastrointestinal decontamination and dialysis
- Avoiding pitfalls
- Approach to the poisoned patient quiz
This chapter covers common toxicologic syndromes (toxidromes) and how to distinguish between them.
- Toxicologic syndromes intro
- Distinguishing between anticholinergic and cholinergic toxicity
- Recognizing respiratory depression in opioid syndrome
- Recognizing sympathomimetic toxicity: a catecholamine surge
- Distinguishing between serotonin and neuroleptic malignant syndromes
- Putting it all together
- Toxicologic syndromes quiz
Here, we'll cover acetaminophen / paracetamol toxicity and when to use antidote therapy. We'll also cover salicylate toxicity and critical elements of treatment.
- Over-the-counter medicines intro
- Mastering the mechanism of acetaminophen toxicity
- Treating acetaminophen toxicity
- Describing the mechanism of acute salicylate toxicity
- Treating acute salicylate toxicity
- Avoiding pitfalls
- Over-the-counter medicines quiz
Carbon monoxide and cyanide
This chapter covers common inhalation toxins, we discuss when to initiate hyperbaric oxygen therapy for carbon monoxide toxicity and review cyanide poisoning antidotes.
- Carbon monoxide and cyanide intro
- Describing carbon monoxide toxicity
- Treating carbon monoxide toxicity
- Mastering the mechanism of cyanide toxicity
- Treating cyanide toxicity
- Carbon monoxide and cyanide quiz
We'll cover the cardiotoxic effects of beta-blockers, calcium channel blockers, digoxin, and tricyclic antidepressants and discuss the use of antidotes.
- Cardiovascular toxicity intro
- Introducing beta-blocker and calcium channel blocker toxicity
- Treating beta-blocker and calcium channel blocker toxicity
- Mastering the mechanism of digoxin toxicity
- Treating digoxin toxicity
- Describing the mechanism of tricyclic antidepressant toxicity
- Treating tricyclic antidepressant toxicity
- Cardiovascular toxicity quiz
In this chapter, we'll cover toxicity related to ethanol and toxic alcohols (ethylene glycol, methanol, isopropanol, propylene glycol) as well as when to use antidote therapy.
- Alcohols intro
- Introducing the basics of ethanol and toxic alcohols
- Explaining methanol and ethylene glycol toxicity
- Treating methanol and ethylene glycol toxicity
- Masteringisopropanol toxicity
- Alcohols quiz
Here, we'll cover toxicity related to metals including iron, lead, and lithium. We'll discuss specific indications to initiate hemodialysis in lithium toxicity.
- Metals intro
- Describing the mechanism of iron toxicity
- Treating iron toxicity
- Mastering the mechanism of lead toxicity
- Treating lead toxicity
- Mastering the mechanism of lithium toxicity
- Treating lithium toxicity
- Metals quiz
This chapter covers toxicity related to hydrocarbons (including essential oils and common household hydrocarbons) and when to be concerned about pulmonary aspiration.
- Hydrocarbons intro
- Describing the mechanism of essential oil toxicity
- Managing essential oil toxicity
- Mastering the mechanism of hydrocarbon toxicity
- Treating hydrocarbon toxicity
- Hydrocarbons quiz
We'll cover mushroom-related toxicity (including anticholinergic and hepatic toxicity) and indications for antidote therapy in amatoxin-induced hepatotoxicity.
- Mushrooms intro
- Introducing toxic mushrooms
- Defining the mechanism of hepatotoxic and nephrotoxic mushrooms
- Treating mushroom hepatotoxicity and nephrotoxicity
- Mushrooms quiz
In this chapter, we'll cover recreational substances including cannabinoids, dissociatives, and inhalants, as well as antidote therapy in drug-induced methemoglobinemia.
- Recreational drugs intro
- Identifying cannabinoid toxicity
- Managing hallucinogen toxicity
- Considering dissociative toxicity in acute care settings
- Recognizing inhalant toxicity
- Recreational drugs quiz
- Clinical Toxicology Essentials outro