Carbon Monoxoide Poisoning

Carbon Monoxide

10 Q-and-As testing your knowledge of Diagnosis And Management Of Carbon Monoxide Poisoning In the ER based on @EBMedicine’s Feb 2011 review

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?

Life in the TOO fast lane?

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There has been an avalanche of new recreational drugs hitting the streets recently. Apart from a few anecdotal reports, most of the information available to clinicians comes from those involved in drug culture. Given these limitations, treatment of toxicity from these new recreational drugs should be guided by the clinical manifestations and the known pharmacology of these agents. They’re coming to an ED near you soon – are you ready?

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.

Ethylene glycol inebriation

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A 5 year-old boy is ‘off his face’ after drinking what looked like a nice bottle of cordial. It was actually radiator coolant. You are called for advice.

The toddler with the Iron gut

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A 3 year-old boy ingested 50 mg/kg elemental iron 2 hours ago. You are called for advice about the management of iron poisoning from a remote hospital.

Chloroquine poisoning?

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Two chloroquine tablets have gone missing and the 2 year-old suspect is ‘keeping mum’ about it. Now what do you do? What if life-threatening toxicity occurs?