Cocaine Toxicity and Obstetrics
OVERVIEW
- significant problem in the US (30 million people)
CLINICAL FEATURES
- chest pain
- abruption
- fetal distress
- hypertension
- dysrhythmias
- myocardial ischaemia/infarction
- tachycardia
- increased Q
- decreased uterine blood flow
- increased uterine contractility
- cerebral haemorrhage/seizures
-> can look just like PET
MANAGEMENT
Hypertension
- hydralazine
- GTN
- Ca2+ antagonists
- labetalol
- don’t use beta-blockers -> unopposed alpha agonism
MI
- GTN
- benzodiazepines
- reperfusion therapies if not rapid resolution
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC