Category LITFL
Toxicology-Conundrum-340 256

Citalopram overdose

26 year-old female who claims to have ingested 40 x citalopram hydrobromide tablets (40mg each) about 3 hours ago - what do you do next?

Toxicology-Conundrum-340 256

Necrotic arachnidism?

A 40 year-old man presents to the 'fast-track' area of your emergency department. He has a ulcerating sore on his right arm. He says its been getting worse over the past 2 weeks.

Toxicology-Conundrum-340 256

Chloral hydrate overdose

A 25 year-old woman with a history of depression was found by her flatmate. An empty 200mL bottle of chloral hydrate was present at the scene. She arrived at your emergency department with the following vital signs...

Toxicology-Conundrum-340 256

Thyroxine overdose

A 34 year-old female with a past medical history of Hashimoto's thyroiditis (currently taking thyroxine 200 mcg daily) who took an overdose of 60 x 200 mcg thyroxine 6 hours ago

Toxicology-Conundrum-340 256

Tricyclic antidepressant toxicity

A 25 year-old male (70 kg) is brought in by ambulance 30 to 60 minutes after ingesting 70 x 50mg amitriptyline. He is tachycardic (HR 120) with an otherwise 'normal' ECG (QRS 95 ms) but is becoming drowsy. You are called to the resuscitation room to assess him.

Toxicology-Conundrum-340 256

Supratherapeutic INR

A 70 year-old man has presented to your emergency department to get his INR checked. It is markedly elevated - how should you manage this?

Ultrasound cases top 100 340

Ultrasound Case 077

Ultrasound guided peripheral intravenous cannula placement. Out-of-plane technique for PIV cannula placement.