Lethal and insidious
Addiction is potentially the most lethal disease we encounter in medical practice. As emergency healthcare providers we can have an enormous impact on 'years of life lost' by managing this illness well.
Category Toxicology
ECG in Toxicology
The ECG is important in the assessment and management of poisoned patients for: screening; diagnosis; prognosis; and monitoring progression to guide management and disposition
Liver Service Transfer / Referral
Remember the 3s and EncephalopaTHREE (ph 7.3, INR>3, BSL of 3.9 less, Encephalopathy) RIPE
Mees lines
Mees lines: white bands traversing the full width of the nail, running parallel to the lunula, with no palpable ridges. As the nail grows they bands move distally and finally disappear when trimmed. The finding was initially related to acute arsenic poisoning.
Valproate: Still Big Trouble!
The patient from Toxicology Conundrum 055 with a massive valproate overdose arrives in the ICU, can you manage things from here?
Valproate: Big Dose, Big Trouble!
A man presents with decreased level of consciousness following a probable ingestion of 96g of sodium valproate. Can you handle this toxicological emergency?
RRSIDEAD • Resuscitation
Resuscitation Overview As with any basic and advanced life support it is important to have a systematic approach to managing toxicological emergency presentations. Pioneers in the field developed RRSIDEAD as a mnemonic to remember the key steps in Tox patient…
Anticholinergic Toxidrome
Anticholinergic Toxidrome was one of the first flashcards I designed. I wanted to make a play on the old mnemonic: mad as a hatter, hot as hell, red as a beat, dry as a bone, and blind as a bat.
Cyanide Poisoning Antidotes
I really enjoyed drawing the Cyanide Poisoning Antidotes flashcard. I really put Travis to the test by drawing out biochemistry pathways...
Cholinergic Toxidrome
Cholinergic Toxidrome was the first flashcard I created, and forever encapsulates Travis as “the guy on the toilet”
Extrapyramidal Side Effects
I drew my inspiration for the Extrapyramidal Side Effects flashcard from the pop photography of Andy Warhol.
Opiate Withdrawal
In the flashcard we added the classic dead baby on the ceiling as seen later in the film. Lastly, while I didn’t include an antidote flashcard for Narcan (Naloxone), I would have surely drawn inspiration from Renton’s visit to Mother Superior.