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Opis
Section 1: Introduction
Clinical: Approach to the poisoned patient
Overview of approach to toxicology/toxinology Principles of risk assessment-based approach Resuscitation, Risk assessment, Supportive care, Decontamination, Investigations, Enhanced elimination, Antidotes, DispositionSection 2: Approach to specialist toxicology problems
Approach to special problems: Approach to snakebite, mushroom poisoning, plant poisoning Toxidromes: Serotonin syndrome, Neuroleptic Malignant Syndrome, anticholinergic syndrome, cholinergic syndrome Important poisoning manifestations and management: Seizures, coma, hypotension, delirium and agitation Drugs of abuse and withdrawal syndromes: Alcohol, amphetamines, opiods, sedative hypnotics, body packers and stuffers Investigations: Laboratory results: acidosis, anion gap and osmolar gap, recommended baseline investigations with interpretation. Unit conversion table: ECG interpretation in poisoning: Radiology. Special populations: Paediatric poisoning: 1 tablet can kill (list), special precautions in management (overnight stay, paracetamol, risk of charcoal etc); Pregnancy and lactation and poisoning; and Geriatric poisoningSection 3: Toxic Drugs (78 chapters)
Approach to diagnosis, investigation and management of the poisoned patient with all of the common drug presentations. Updated with 8 new drug chapters as per readers nominations and feedbackSection 4: Antidotes (29 chapters)
Detailed description of indications, contraindications, clinical administration and therapeutic end-points for all antidotes. New chapter on Intralipid, the latest development in antidote therapySection 5: Toxinology (16 chapters)
Approach to snakebite, spider and marine envenoming. New chapter on tick envenomingSection 6: Antivenom (11 chapters)
Detailed description of indications, contraindications, clinical administration and therapeutic end-points for all antivenomsAppendices Sample ECGs from poisoned patients; Drug concentrations and unit conversion chart; Guide to the management of allergic reaction to antivenom