Author: Yasmin Sultan / Editor: Adrian Boyle / Reviewer: Tadgh Moriarty / Codes: PhC1, PhC3, PhP2, RP8, SLO3 / Published: 08/10/2020
A 46-year-old man is brought by ambulance to the Emergency Department (ED). He has been drinking alcohol all afternoon and according to collateral from his wife he had taken ‘some tablets’ two hours ago. He is too drowsy to give a history but two empty 28-tablet strips of Carbamazepine 400mg SR were found at home. These belonged to the patient, having been prescribed for temporal lobe epilepsy.
On examination you note his heart rate is 86bpm, and blood pressure is 126/68. His respiratory rate is currently 12 and his oxygen saturations are 98% on high flow oxygen via a non-rebreather mask. His current GCS is 10 (E2, V3, M5), however you note from the pre-hospital handover report that he briefly dropped to GCS 6 (E1, V1, M4) en-route. His glucose is 7.8
His wife tells you his most recent weight is 70kg.
Module Content
Paediatric Toxicology Considerations
This module explores the presentations of children to the ED by concerned parents after a potential ingestion of a substance is common.
Carbon Monoxide Poisoning
Carbon monoxide poisoning still accounts for a significant number of cases and is associated with both morbidity and mortality through a spectrum of presentations due to both acute and chronic exposures.
Shock
The relative incidence and mortality of shock varies greatly depending on the population and the cause.
9 Comments
Very clinical and knowledge based
helpful
Very informative and useful for ED
Very useful piece.
Very useful
very relevant
Useful info
Good case for revision of knowledge
Gathered some important information