Youngsville Rescue & EMS

Providing emergency services to the town of Youngsville, NC since 1973

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Poisoning & Overdose

March 11, 2015 by Candice Ryan-Supples

Con-Ed Topic: Poisoning & Overdose

Con-Ed Date: March 11, 2015 (rescheduled due to winter weather)

NARCAN kit
NARCAN kit

Overview

Conducted review of Poison Control Center statistics, including causation, route, poisonous agent, and various patient demographics of recent poisonings. Lecture on identification and general management of poisoning by ALS and BLS personnel, including review of Franklin County protocols.

Class discussion of specific toxins and syndromes, including aspirin, acetaminophen, opiates, benzodiazepines, tricyclic antidepressants, alcohol, antihypertensive agents, stimulants, and various CNS depressants. Discussion of toxic exposure as a differential diagnosis in suspected psychiatric emergencies, including video case study.

Lecture and discussion of Excited Delirium Syndrome based on the ACEP White Paper on ExDS with a video based case study.

Franklin County EMS Protocols Reviewed

Adult

  • #31 Overdose and Toxic Ingestion
  • #6 Behavioral
  • #25 Altered Mental Status

Peds

  • #60 Pediatric Overdose and Toxic Ingestion
  • #57 Pediatric Altered Mental Status

Presentation Resources

How to assemble and use intranasal Narcan (You Tube) This video is for the lay person using an emergency narcan kit, but the equipment is identical to what YRS carries.

Want to learn more about Excited Delirium Syndrome?

Link to ACEP White Paper on Excited Delirium Syndrome

This paper was published by the American College of Emergency Physicians. It provides a good overview and recommendations for first responders and law enforcement dealing with potential Excited Delirium patients.

Want to learn more about specific toxic agents?

Bath Salts for Public Safety Providers (You Tube)

This video by Dr. Bowie provides an overview of the designer drugs, generally referred to as “Bath Salts”. It is intended specifically for the public safety and emergency medicine audience.

Aspirin Overdose by EM in 5 (You Tube)

Calcium Channel Blocker by EM in 5 (You Tube)

These videos by Dr. Anna Bargren are a good overview of aspirin overdose and calcium channel blocker overdose. This is more helpful for advanced providers and those in the ED setting.

Filed Under: Altered Mental Status, Con-Ed, Uncategorized Tagged With: adult, excited delirium, narcan, overdose, pediatric, poisoning

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