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2025 Multiprofessional Critical Care Review: Adult ...
1: Toxicology Drug Overdoses
1: Toxicology Drug Overdoses
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Video Transcription
Video Summary
Dr. Heather Lee Bailey's talk focuses on toxicology and drug overdoses, emphasizing common overdoses and their identification and treatment strategies. Key points include the importance of a comprehensive history and physical exam to ascertain the substance, timing, and any potential prolonged-release medication use. Patterns in vital signs, neurological, and skin findings can help identify the type of overdose, such as sympathomimetics indicating increased heart rate and blood pressure, or narcotics showing decreased vitals. Visual clues, like pupil size, and symptoms, like seizures, are also important.<br /><br />Decontamination methods like ipecac and activated charcoal are discussed, with recommendations for use only under specific circumstances to avoid complications. Various treatments, including forced diuresis, alkalinizing urine, hemodialysis, and specific antidotes such as N-acetylcysteine for acetaminophen and atropine and pralidoxime for cholinergic overdoses, are highlighted. The role of poison control centers in managing overdoses effectively is stressed. Overall, the talk underscores thorough patient assessment, recognition of overdose patterns, and adherence to safety and decontamination protocols.
Keywords
toxicology
drug overdoses
identification
treatment strategies
decontamination
antidotes
poison control
patient assessment
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