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?
A classic overdose for you to ponder in classic Q&A style, which incidentally marks the 50th toxicology conundrum on LITFL!
An ingestion of 100mg of alprazolam… Boring benzodiazepine or badness brewing? Find out in this case-based series of questions-and-answers.
You next patient has swallowed over 80 grams of lithium. What are you going to do about it?
A baffling case of apparent brain death… Can you work out what has happened?
A puzzling case of drug-induced delirium. Can you solve the mystery?
A case of paracetamol-induced hepatotoxicity with a discussion of the Schiodt scoring system for predicting paracetamol-induced liver failure.
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?
A review of the literature on the assessment and management of the patient suffering from cannabinoid hyperemesis syndrome.
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 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?
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?