An updated guide to the approach, assessment and management of poisoned patients
Poisoning is a common emergency department presentation, and is the third major cause of hospital admission in Australia.
The new edition of this all-encompassing toxicology reference describes the risk assessment-based approach pioneered by its principal authors.
The Toxicology Handbook is written for hospital-based doctors at all levels and is divided into six sections, including an approach to the poisoned patient, specific toxins, antidotes, toxinology and antivenom.
It also deals with specific toxicology considerations like alcohol abuse, dependence and withdrawal, and poisoning in children and the elderly. Important locally relevant information on bites, stings and envenoming is also included.
The concise layout of this didactic medical guide enables readers to quickly locate required information – essential in a poisoning emergency.
Established as a primary reference in Australian Poisons Information Centres, the Toxicology Handbook is useful for doctors, nurses, ambulance service paramedics and pharmacists alike.
Section 1: Introduction
- Who are the authors
- Scope of the book
- Handbook of acute management of common poisonings.
- Hands on and practical approach.
- Rationale for drugs included
- How to use the book
- Universal disclaimer
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, Disposition
Section 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 poisoning
Section 3: Toxic Drugs (78 chapters)
- Approach to diagnosis
- No. of pages:
- © Churchill Livingstone Australia 2010
- 15th December 2010
- Churchill Livingstone Australia
- eBook ISBN:
Consultant Emergency Physician, Lismore Base Hospital, Lismore, NSW, Australia