Effective and early resuscitation combined with risk assessment and supportive care remain the mainstays of management of the poisoned patient.
Initial evaluation should aim to identify life threats and establish the potential to deteriorate.
Consider the mnemonic....Resus RSI DEAD
Resuscitation
- ABC
- Check glucose levels
- Check temperature
- Manage seizures
- Consider resuscitation antidotes
Risk Assessment
- Consider potential sequelae
Supportive Care and ongoing monitoring
Investigations
- General-Paracetamol, ECG, Glucose (PEG)
- Specific
Decontamination
Enhanced Elimination
Antidotes
Disposition
Examination? Easy.