Current Concepts in Adult Critical Care-Toxidromes and Illicit Drug Abuse in the ICU

Video Transcription

Video Summary

The speaker, Brad Hogan from the University of Rochester Medical Center, discusses toxidromes and patient care in cases of overdose. He highlights the challenges in identifying and managing patients with common toxidromes requiring ICU admission. The presentation covers various classifications of toxidromes, such as sympathomimetic, hallucinogenic, anticholinergic, sedative-hypnotic, and opioid, with a focus on recognizing clinical signs, symptoms, and appropriate interventions. Brad also addresses the prevalence of drug overdoses in the US, particularly driven by synthetic opioids like fentanyl. He provides insights on diagnostic approaches, treatments, and preventive measures, including the use of naloxone, specialized interventions for specific toxidromes, and supportive care strategies. The transcript touches on specific substances like xylazine, kratom, opioids, ketamine, and alcohol withdrawal, emphasizing early recognition and tailored management approaches for each toxidrome. Brad urges systemic and consistent patient assessment, considering decontamination, antidotes, enhanced elimination, and ongoing supportive care. He underscores the importance of multidisciplinary collaboration and continuing education to address the complex landscape of toxicology and the rising challenges of drug overdose epidemics in the US.

Keywords

toxidromes

patient care

ICU admission

clinical signs

interventions

drug overdoses

naloxone

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