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...
Tag Toxicology Conundrum
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
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.
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?
Irukandji Syndrome Territory-style
You are working as a locum doctor in the Northern Territory. Your patient is a 32 year-old Indonesian man who says he was stung while hauling in a net on an offshore fishing vessel.
Chironex fleckeri envenoming
Case-based question-and-answers on a near fatal box jellyfish sting. Can you save the day?
It was the little octopus!
A 21 year-old sailor placed a small blue and yellow octopus on his shoulder while wading back to shore after spear-fishing with a friend. As he reached the beach he threw the little octopus into the sea
Stingray envenoming
While riding in a boat off the North Queensland coast a 12 year-old boy was struck by a large fish that had catapulted itself out of the water.
Lionfish envenoming
Clinical case of a man being stung on the distal palmar surface of his right index finger by his lionfish (Pterois volitans) while cleaning his aquarium.
Little Johnny and Grandad’s warfarin
Little Johnny is an inquisitive 15kg 3 year-old boy. His grandad was looking after him for the evening. About an hour ago, the phone rang just as grandad was about to take his evening warfarin tablets. Although he only turned his back for a second, there was enough time for little Johnny to start ploughing into the tablets...
Theophylline overdose
Toxicological evaluation and treatment of a patient with theophylline toxicity
Paracetamol…too much, too often?
You are called by a doctor in a remote hospital asking for advice. The doctor is concerned about the risk of hepatotoxicity from repeated supratherapeutic ingestion (RSI) of paracetamol in the following patient: