poisons and more
Paracetamol is one of the widely available medications and its poisoning is common across the world. N- acetyl cysteine (NAC) is being used as an antidote for the same. The conventional protocol for NAC is an infusion of 300mg/Kg over 21 hours. The downfall of this regimen is because of the higher incidence of dose…
Classification Type II pyrethroids have an alpha-cyano moiety (but features of cyanide poisoning have not been reported) Mechanism of action In vitro, pyrethroids have an effect on Type I pyrethroids – produce repetitive discharges (burst discharges) for a single stimulus Type II pyrethroids – prolongs the period of depolarization Pyrethroids often contain additives like piperonyl…
Preparations Contraindications Multiple Dose activated charcoal Indications Contraindications Any Contraindication for single dose activated charcoal Dosing
Neonicotinoids are newer insecticides which are less toxic to humans compared to organophosphates. This group of insecticides are neurotoxic and specifically acts on nicotinic Acetylcholine receptors in central nervous system. EPA has classified neonicotinoids as class II and class III toxins. Even though used widely in the field of horticulture, these compounds are found to…
I was sitting in an emergency room thinking ‘tonight is so quiet’…. Wait, what? Isn’t it a horn I’m hearing? An 18yr old boy is being wheeled in a trolley, actively seizing. (first thought-the Q word is really cursed) Shifted the patient into the resuscitation bay, put him on left lateral, connected to oxygen and…
In the chaos of ER, we often struggle to provide care based on recent advances to our patients. This is a humble attempt to bring to you recent guidelines and management protocols while in ER