Chemical Principles
INTRODUCTION Print Section Listen Chemistry is the science of matter; it encompasses the structure, physical properties, and reactivities of atoms and their compounds. In many respects, toxicology is the science…
ANESTHESIA
Principles of Diagnostic Imaging
INTRODUCTION Print Section Listen Diagnostic imaging plays a significant role in the management of many patients with toxicologic emergencies. Radiography can confirm a diagnosis (eg, by visualizing the xenobiotic), assist…
Laboratory Principles
INTRODUCTION Print Section Listen Clinical toxicology addresses the harm caused by acute and chronic exposures to excessive amounts of a xenobiotic. Detecting the presence or measuring the concentration of toxic…
Principles and Techniques Applied to Enhance Elimination
INTRODUCTION Print Section Listen Enhancing the elimination of a xenobiotic from a poisoned patient is a logical step after initial stabilization of the airway, breathing, and circulation; supportive measures; and…
Whole-Bowel Irrigation and Other Intestinal Evacuants
INTRODUCTION Print Section Listen One approach to altering the pharmacokinetics of a xenobiotic is to administer a gastrointestinal (GI) evacuant. Selected patients benefit from minimizing systemic exposure by decreasing GI…
Activated Charcoal
INTRODUCTION Print Section Listen Activated charcoal (AC) is an excellent nonspecific adsorbent. Conclusions regarding the role of AC in poison management are achieved through the integration of pharmacologic data, controlled…
Decontamination Principles: Prevention of Dermal, Ophthalmic, and Inhalational Absorption
INTRODUCTION Print Section Listen Decontamination is a term that describes limiting or minimizing the exposure of a patient to a xenobiotic. This involves removal of a xenobiotic by physical means…
Principles of Managing the Acutely Poisoned or Overdosed Patient
OVERVIEW Print Section Listen For more than 5 decades, medical toxicologists and poison information specialists have used a clinical approach to poisoned or overdosed patients that emphasizes treating the patient…
Principles of Antidote Stocking
INTRODUCTION Print Section Listen Most patients with xenobiotic exposures do well with supportive care and close attention to vital physiology. However, one of the fundamental principles of managing an acutely…
Case Study 2
CASE STUDY 2 Print Section Listen History A 22-year-old man was brought to the emergency department after being found unconscious at a movie theater. In the field, the paramedics inserted…
