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EM Emergency Toxicology - Coggle Diagram

- - - - Consider intubation GCS < 8
        not in opiod overdose bc good antidote
    - - End tidal CO2 - gives better indication of impending deterioration
    - - Neuro survey
        Pupils - If unequal may not be toxin
        GCS
        Limb movements - if unilateral unlikely to be toxin
        Blood glucose
- - - - Heroin
        Codeine
        Oxycodone
    - - Cocaine
        Methamphetamines
        Amphetamines
        LSD
    - - Benzodiazapines
    - - Serotonin toxidrome - SSRIs
        Neuroleptic Malignant syndrome - Antipsychotics
        Paracetamol
- - - - ABC - Supportive
        
        Airway
        
        O2 if indicated
        
        Ventilatory support if indicated
        
        Benzodiazipines
        Nitrates if coronary vasospasm - monitor BP
        If no response call cardio - Coronary angiogram
- - - - VFIB
        CRP & Defib
        They took sympathomimetic with benzo causing Vfib
- - - - Salivation
        LAcrimation
        Urination
        Diarrhoea
        GI dysmotility
        Emesis
    - - Diarrhoea
        Urination
        Miosis
        Bradycardia
        Bronchoconstriction
        Emesis / Excitation
        Lacrimation
        Lethargy
        Salivation