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MODULE 19: toxicology i
watch.
Dr Mohan Kalamanathan speaks on a Toxicological Case Study
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Dr Clifford Tan speaks on Toxicological Emergencies
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READ
A couple of things for you to read:
- The new summary guidelines for management of paracetamol overdose: these are high risk of appearing on an imminent exam and you must know them
- Something Luke wrote a while ago that is a useful summation of Amanita Phalloides toxicity (which is interesting, and poorly described in most textbooks, but probably not going to appear in detail on the exam).
- T is for Tox: you got this at F2F1. It's the fellowshipexam.com summary of the important toxicological issues. You can work through it and annotate your own notes over this week and next week.
| t_is_for_tox.pdf |
solve.
Probably the most important things to understand in ED toxicology are the roles of different therapies that can be applied. The toxicology handbook (Murray, Daly, Litte & Cadogan) covers these extensively, and lifeinthefastlane has popularised the RSI-DEAD mnemonic. The handbook's a cracker, but covers everything in minute detail, and you need to keep in mind that this is a FACEM exam, not a consultant toxicologic exam. The absolute need to know stuff is twofold:
This week, we are going to cover general therapies. These include decontamination and enhanced elimination.
Therapies across the two groups include:
So, for this module please solve the following:
1. Define decontamination and enhanced elimination.
2. Classify the five therapies above into the correct categories
3. For each therapy delineate a rationale for its use, and list the common FACEM exam drugs (in your opinion) that it would apply to.
You need to have this straight in your minds before you sit a toxicology question.
- The role of general therapies
- Specific details of antidotes where they exist.
This week, we are going to cover general therapies. These include decontamination and enhanced elimination.
Therapies across the two groups include:
- Single dose charcoal
- Multi dose activated charcoal
- Gastric Lavage
- Haemodialysis/haemoperfusion
- Whole bowel irrigation.
So, for this module please solve the following:
1. Define decontamination and enhanced elimination.
2. Classify the five therapies above into the correct categories
3. For each therapy delineate a rationale for its use, and list the common FACEM exam drugs (in your opinion) that it would apply to.
You need to have this straight in your minds before you sit a toxicology question.
write.
Write 5 toxicology MCQs (they are a favourite topic). Write 2 SAQs: one on differential diagnosis using a prop, and the other on management.