Transcript ALS course slide set - the Australian Resuscitation Council

Special Circumstances Workshop
Poisoning
Learning outcomes
By the end of this session the candidate will:
• Have a systematic approach to the assessment and
treatment of the poisoned patient
• Know where to obtain expert advice in the event of a
suspected poisoning
• Recognise some common physical signs that may be
associated with poisoning
• Know the potential antidotes to common/important
poisons
Case study
Clinical setting and history
• A 45-year-old woman with a history of depression is admitted having
taken an overdose
Clinical course
• ABCDE
- A : Clear
- B : RR 9 min-1
- C : P 110 min-1, BP 90/40 mmHg, 12 lead ECG available
- D : Confused with slurred speech, GCS 13/15 (E3, V4, M6), dilated
pupils
- E : Unremarkable
What action will you take?
What does the ECG show?
Case study(continued)
Case study (continued)
What drug is the patient likely to have taken and what steps
could be taken to reduce the risk of cardiac arrest in this
patient?
Case study (continued)
What drug is the patient likely to have taken and what steps
could be taken to reduce the risk of cardiac arrest in this
patient?
What physical signs and treatments do you know for common
or important poisonings?
Any questions?
Advanced Life Support Course
Slide set
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©Australian Resuscitation Council and Resuscitation Council (UK) 2010