1. Special Circumstances Workshop Poisoning

2. By the end of this session the candidate will: Have a systematic approach to the assessment and treatment of the poisoned patient Know where to obtain expert advice in the event of a suspected poisoning Recognise some common physical signs that may be associated with poisoning Know the potential antidotes to common/important poisons Learning outcomes

3. Case study Clinical setting and history A 45-year-old woman with a history of depression is admitted having taken an overdose Clinical course ABCDE -A : Clear -B : RR 9 min -1 -C : P 110 min -1, BP 90/40 mmHg, 12 lead ECG available -D : Confused with slurred speech, GCS 13/15 (E3, V4, M6), dilated pupils -E : Unremarkable What action will you take? What does the ECG show?

4. Case study (continued)

5. What drug is the patient likely to have taken and what steps could be taken to reduce the risk of cardiac arrest in this patient?

6. Case study (continued) What drug is the patient likely to have taken and what steps could be taken to reduce the risk of cardiac arrest in this patient? What physical signs and treatments do you know for common or important poisonings?

7. Any questions?

8. Advanced Life Support Course Slide set All rights reserved ©Australian Resuscitation Council and Resuscitation Council (UK) 2010