Intralipid – myth or miracle?

human_bug_man.thumb

Intralipid is one of the most exciting developments in clinical toxicity. Is its ability to bring patients back from the dead a myth or a miracle?

Seizures, Somnolence and a Scary ECG

ECG Exigency Thumbnail

An 18-year old male is brought to ED by ambulance following a generalised seizure at home. Can you interpret his ECG and save his life?

Tricyclic antidepressant toxicity

Sodium channel activation states

A 25 year-old male (70 kg) is brought in by ambulance 30 to 60 minutes after ingesting 7 x 500mg amitriptyline. He is tachycardic (HR 120) with an otherwise ‘normal’ ECG (QRS 95 ms) but is becoming drowsy.

Insulin for verapamil overdose

Today the Medical Journal of Australia published a case report authored by myself and Mark Little titled ‘Early use of high-dose insulin euglycaemic therapy for verapamil toxicity’: A 49-year-old man presented with verapamil toxicity complicated by hypotension and a junctional rhythm, in the context of deliberate self-poisoning with multiple drugs. The patient’s hypotension normalised following [...]