TechTool Thursday 010

TECH TOOL FEATURED

Toxbase allows the user access to the Poisons Database. All the information about drug toxicity, side effects and monitoring can be easily looked up on your iPhone.

Stuffed, Speeding and Busted!

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Just before being busted by the cops, your patient stuffed a package containing metamphetamines into his mouth and swallowed. How are you going to handle this one?

Alprazoslammed

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An ingestion of 100mg of alprazolam… Boring benzodiazepine or badness brewing? Find out in this case-based series of questions-and-answers.

Lithium, vomiting and diarrhoea

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You next patient has swallowed over 80 grams of lithium. What are you going to do about it?

Massive Propranolol Overdose

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A 27-year old female presents to ED one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with a heart rate of 46 bpm. Fifteen minutes earlier she had been awake and able to give a history to paramedics… You need to act fast to save this patient. Are you up to the challenge?

Mistaken Identity

Mislabelled Medicine

A 22 year old presents to the ED following the alleged ingestion of fenofibrate tablets 2 hours prior to presentation.

A Remorseless Poison

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A 20 year-old female had a polypharmacy overdose 36 hours ago. She has had symptoms of GI upset (nausea and vomiting), some anxiety and mild confusion. Her life is in your hands…

A Toxic Slumber

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A 3 year-old boy is BIBA with a reduced level of consciousness. He is protecting is airway, has a respiratory rate of 15/min, a pulse rate of 70/min and blood pressure of 85/35 mmHg. He is responsive to painful stimuli and has pupils 2mm in diameter. Can you keep out of harm’s way?

Seizures, Somnolence and a Scary ECG

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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?

Paracetamol/ Acetaminophen Overdose

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A sneak peak at this month’s review from EBMedicine’s Emergency Medicine Practice: An Evidence-Based Approach to Acetaminophen (paracetamol, APAP) Overdose.