Updated 2nd July 2024 OVERVIEW TOXICODYNAMICS TOXICOKINETICS RISK ASSESSMENT Onset Propanolol Patient factors General clinical features Propanolol (“sodium channel blocker masquerading as a beta blocker”) Sotalol MANAGEMENT Resuscitation Supportive care and monitoring Investigations Decontamination Enhance elimination Antidotes Disposition CONTROVERSIES References…
Carbon monoxide (CO) is a colourless, odourless gas produced by incomplete combustion of carbonaceous material. CO poisoning may be acute or chronic
You are handed over a patient by a colleague (that's a 'handoff' to you Yanks)... He says he would usually send a patient like this home, but as the d-dimer is pending he suggests the patient should wait for the result.
Adrenaline (epinephrine); catecholamine; direct acting sympatheomimetic -> alpha & beta agonist; low doses -> beta-effects -> increase HR and Q; higher doses -> alpha-effects; maintains coronary & cerebral blood flow
Funtabulously Frivolous Friday Five 104 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Ideal Transport Monitor: most important monitor is clinical observation but parts of the clinical assessment (ie. auscultation) can be impossible.
The GCS is a neurological scoring system used to assess conscious level after head injury
Teasdale and Jennet invented the GCS in 1974
Aeromedical Transport of the Critically Ill; risks of transport has to be weighted up against the benefit offered by facility
A 15 year old boy has had vomiting and diarrhoea for 2 days. He has developed increasing right iliac fossa pain which has suddenly increased and is colicky in nature.
Transferring the Critically Ill: key principle is that the standard of care should not decrease during or after retrieval of a critically ill patient
OVERVIEW The Fragility Index is the minimum number of patients whose status would have to change from a nonevent to an event that is required to turn a statistically significant result to a non-significant result The smaller the Fragility Index,…
Oh no, why on earth did you order a CRP?!