Poisoning and overdose management
Emergency Medicine and Critical Care · MBBS
Study notes
Opioid overdose — pinpoint pupils; naloxone; wakes. Poisoning: general (ABCs — stabilize; decontaminate — charcoal <1h — not corrosives/hydrocarbons; enhance elimination — fluids, dialysis — salicylates; antidotes — naloxone — opioids; NAC — paracetamol <8h; atropine + pralidoxime — OP; flumazenil — benzos — seizures risk; digoxin — Fab), specific (paracetamol — Rumack — NAC; salicylates — bicarbonate, dialysis; methanol — fomepizole, dialysis — blindness; iron — deferoxamine). Supportive care saves — most need observation.