Conceptos en Medicina de Urgencia

OVERVIEW

• Conceptos en Medicina de Urgencia is a fantastic emergency medicine conference based in Chile.
• This page includes the resources for my presentations at Conceptos 2016 and 2019.
• Conceptos 2019:
  • Resuscitology
  • Ten Tips for the Resuscitationist
  • Antidotes: Resus Essentials
• Conceptos 2016:
  • Toxicology Workshop
    • Approach to the Poisoned Patient
    • Antidotes in the Emergency Department
    • Paracetamol Toxicity
  • Main Conference
    • Toxicology: What Not To Do!
    • Future of Medical Education
    • ECG in Toxicology
    • Shock… Now what?

GENERAL RESOURCES

• LITFL Tox Library
• Toxicology Conundrums (over 50 case-based Q&A posts to test your knowledge)
• Critical Care Compendium (search the database of over 1600 critical care topics, including toxicology)

CONCEPTOS 2019

Ten Tips for the Resuscitationist

“Ten tips – to use before, during, and after resuscitation episodes – that will help clinicians maximise their chances of saving their sickest patients.”

[slideshare id=171335939&doc=tenresustips20190908-190912221627]

Antidotes: Resus Essentials

“An overview of the principles of antidote use in resuscitation, with a focus on three essential agents: naloxone, sodium bicarbonate, and high-dose insulin euglycaemic therapy.”

[slideshare id=171335843&doc=antidotesresusessentials20190908-190912221513]

CONCEPTOS TOXICOLOGY WORKSHOP 2016

Approach to the poisoned patient

An Approach to the acutely poisoned patient from precordialthump

• Approach to acute poisoning (CCC)
• Basics (Tox Library)
• Activated Charcoal (CCC)
• Gastric lavage (CCC)
• Enhanced Elimination (CCC)

Antidotes in the Emergency Department

Antidotes in the Emergency Department from precordialthump

• Antidotes (CCC)
• The Antidote Challenge (Tox Conundrum 031)
• Antidotes (Tox Library – list of individual antidotes with clinical pharmacology information)
• Dart RC, Borron SW, Caravati EM. Expert consensus guidelines for stocking of antidotes in hospitals that provide emergency care. Annals of emergency medicine. 54(3):386-394.e1. 2009
• Gunja N, Graudins A. Management of cardiac arrest following poisoning. Emergency medicine Australasia : EMA. 23(1):16-22. 2011.

Paracetamol toxicity

Paracetamol toxicity from precordialthump

• Paracetamol (Tox Library)
• N-Acetyl Cysteine (Tox library)
• Paracetamol-induced hepatotoxicity (Toxicology Conundrum 051)
• Paracetamol… Too much, too often? (Repeated Supratherapeutic Ingestion) (Toxicology Conundrum 001)
• Liver transplantation for paracetamol toxicity (CCC)
• Chiew AL, Fountain JS, Graudins A, Isbister GK, Reith D, Buckley NA. Summary statement: new guidelines for the management of paracetamol poisoning in Australia and New Zealand. The Medical journal of Australia. 203(5):215-8. 2015. [free full-text PDF of the full guideline]

CONCEPTOS MAIN CONFERENCE 2016

Toxicology: What Not To Do

Toxicology: What NOT to do from precordialthump

ECG in Toxicology

Ecg in Toxicology from precordialthump

ECG 1 (click to enlarge)

ECG 2 (click to enlarge)

ECG 3 (click to enlarge)

• The 12-lead ECG in Toxicology (Tox Library)
• Beta-blocker toxicity (ECG Library)
• Calcium-channel blocker toxicity (ECG Library)
• Carbamazepine cardiotoxicity (ECG Library)
• Digoxin effect (ECG Library)
• Digoxin toxicity (ECG Library)
• QRS widening (ECG Library)
• Quetiapine toxicity (ECG Library)
• Tricyclic overdose (sodium-channel blocker toxicity) (ECG Library)

Shock… Now What?

Shock… Now What? from precordialthump

• Shock Classification and Causes (CCC)
• Inotropes, vasopressors and other vasoactive agents (CCC)
• Corticosteroids in Refractory Shock (CCC)
• Intubation, hypotension and shock (CCC)
• Initial management of sepsis and septic shock (CCC)
• Fluid responsiveness (CCC)
• Fluid bolus therapy (CCC)
• Venous return and shock (CCC)
• Seif D, Perera P, Mailhot T, Riley D, Mandavia D. Bedside ultrasound in resuscitation and the rapid ultrasound in shock protocol. Critical care research and practice. 2012:503254. 2012.

Future of Medical Education

The future of medical education from precordialthump

The Science of successful learning

Infographic source: https://educationcogitation.com/2015/08/05/on-making-it-stick/ [accessed 2 September 2016]