APPROACH TO THE POISONED PATIENT

 

 

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.

 

 

 

 References and Links

APPROACH TO THE POISONED PATIENT (LITFL)