Current Concepts in Adult Critical Care-Toxidromes Illicit Drug

Video Transcription

Video Summary

The video transcript discusses toxidromes and illicit drug abuse in the ICU, emphasizing the need to recognize common toxidromes and manage patients who may require ICU admission due to drug overdose. The presentation covers the definition of toxidromes, diagnostic approaches, including metabolic profiles and urine drug screens, as well as therapeutic interventions such as supportive care, specific antidotes, and enhanced elimination techniques like hemodialysis. It highlights the prevalence of drug overdoses in the US, particularly due to opioids like fentanyl. The transcript addresses specific drugs of abuse, including anticholinergics, hallucinogenics, sympathomimetics, and sedative-hypnotics, providing clinical manifestations and management strategies for each toxidrome. The importance of interdisciplinary collaboration and utilizing resources like toxicology teams and poison control centers is stressed for effective identification and treatment of toxidromes.

Keywords

toxidromes

illicit drug abuse

ICU

drug overdose

metabolic profiles

supportive care

opioids

antidotes

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