|OBJECTIVE 9: TOXICOLOGY: Describe the general approach to the poisoned patient.|
The Toxicology portion of the curriculum will be performed online. Watch the videos or refer to the Toxicology section on the CDEMcurriculum website. This provides just an introduction to discipline of Toxicology.
- How do you assess the primary survey
- What initial actions should you complete
- How can you get history
The solution to pollution is dilution.
- Serotonin Syndrome
- CBC, CMP, VBG, serum osmolarity
- Urine drug screen?
- Tylenol and aspirin level
- x-rays: COINS
And don’t forget your calculations:
- Anion Gap = Na – Cl – HCO3 :: (nl 8-12) → MUDPILES
- Delta Gap = (AnionGap – 23) – (HCO3 – 24) :: (nl -6 to 6)
- Calculated Osmoles = 2Na + BUN/2.8 + Glu/18 + EtOH/4.6 + Methanol/3.2 + EthyleneGlycol/6.2 + Isopropanol/6.0
- Osmolar Gap = MeasuredOsmoles – CalculatedOsmoles :: (nl < 10)
- Skin and eye decontamination
- GI decontamination
- Enhanced Elimination
Test your knowledge with an optional quiz.
(1) Tobin DG, et al. CCJM 2016 Mar;83(3):207-215.
(2) Saitman A, et al. J Anal Toxicol 2014;38(7):387-96.