Rational management of poisoned patients

February 26, 2010, 6:38 pm

Thanks to Michelle Lin’s blog Academic Life in Emergency Medicine for pointing out that “Emergency Medicine Practice” has just made all their issues from 2007 and earlier freely accessible online. As a result, a monograph describing “A Rational Approach To Managing The Poisoned Patient” — written almost a decade ago by Drs. Erickson, Aks, Williams, and myself — is finally available to one and all.  Some of the material in it is outdated. At one point we mention that naloxone can be given, if necessary, via endotracheal tube.  Of course, if the patient is already intubated, airway and ventilation status should be stabilized and the last thing you’d want to do is precipitate acute withdrawal by administering an opiate antagonist.  Still, if I do say so myself, many of our recommendations have held up remarkably well, and the monograph seems to have held up well.

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