EM Cases · Toxidrome approach and general management
Poisoned patient resus — toxidrome call and decontamination decision
OSCE resus testing ABCDE, toxidrome recognition, naloxone titration, and NaHCO3 for TCA features.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Two-phase resus station: opioid triad then evolving mixed OD with wide QRS.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
Format. Clinical-management (resus) station, 11 minutes. You are the EM consultant.
References2ShowHide
- [1]Hüser C, Bethlehem C, Dünser MW, et al. Critical care management of the patient with pharmaceutical poisoning. Intensive Care Med, 2025.PMID 41222651
- [3]Chyka PA, Seger D, Krenzelok EP, Vale JA. Position paper: Single-dose activated charcoal. Clin Toxicol (Phila), 2005.PMID 15822758