Toxicology

Course overview

Objectives Explain the various toxidromes and their associated signs and symptoms Identify signs of overdose or substance abuse Describe scene safety and management in possible poisonings Content Information Covered 1 Epidemiology of toxicology emergencies 1 Review of epidemiology of poisoning 2 National resources for poisoning 3 Types of toxicological emergencies 1 Unintentional poisoning 2 Drug alcohol abuse 3 Intentional poisoning overdose 4 Pharmacokinetics 5 Routes of absorption 6 Poisoning by ingestion 7 Poisoning by inhalation 8 Poisoning by injection 9 Poisoning by absorption Toxic syndromes toxidromes including drugs of abuse 1 Introduction 2 Cholinergics 3 Anticholinergic 4 Marijuana and cannabis compounds 5 Sympathomimetics stimulants 6 Barbiturates sedatives hypnotics 7 Hallucinogens 8 Opiates 9 Huffing agent halogenated hydrocarbons 3 Alcoholism 1 Introduction epidemiology risk factors morbidity mortality complications 2 Pathophysiology of long term and acute alcohol abuse and withdrawal 1 End organ damage 1 Brain 2 Liver 3 Heart 4 Bone 5 Pancreas 2 Assessment findings and symptoms for patients with acute and chronic alcohol abuse and withdrawal 3 Management for a patient with exposure to use of with acute and chronic alcohol abuse and withdrawal 4 Poisonings and exposures 1 Chemicals 1 Agents 1 Cyanide 2 Solvents 3 Carbon monoxide 4 Alcohols 5 Hydrocarbons 6 Caustics 7 Metals 8 Hydrogen fluoride 9 Hydrogen sulfide 10 Oxides of nitrogen 11 Ammonia 12 Chlorine 2 Assessment findings and symptoms for patients with chemical poisoning exposure 3 Management for a patient with chemical poisoning exposure 5 Household poisons 1 Pesticides 2 Household cleaning poisonings 3 Poisonous plants 4 Assessment findings and symptoms for patients with poisoning exposure to household poisons 5 Management for a patient with chemical poisoning exposure to household poisons Medication overdose introduction pathophysiology incidence toxic agents risk factors complications 1 Cardiac medications 2 Psychiatric medications 3 Non prescription pain medications including salicylates and acetaminophen 4 Other 5 Assessment findings and symptoms for patients with medication overdose 6 Management for a patient with medication overdose General treatment modalities for poisonings 1 Facilitated airway control 2 Respiratory support 3 Circulation support 4 Antidote therapy 5 Decontamination Communication and documentation for patients with toxicological emergencies Transport decisions with toxicological emergencies Age related variations for pediatric and geriatric patients Patient education and prevention of toxicological emergencies and drug and alcohol abuse