Here is Andy’s talk on naltrexone implants, some of the evidence for their use, and their issues in the emergency department. Resources: SCGH Alcohol and Drug Service (ADS) – (Intranet link) SCGH Opiate Withdrawal Chart: References: Naltrexone implants after in-patient treatment for opioid dependence: randomised controlled trial Nikolaj Kunøe, Philipp Lobmaier, John Kåre Vederhus, Bjørg Hjerkinn, Solfrid Hegstad, Michael Gossop, Øistein Kristensen, Helge WaalThe British Journal of Psychiatry May 2009, 194 (6) 541-546; DOI: 10.1192/bjp.bp.108.055319 Armstrong J, Little M, Murray […]
Here’s Sinead’s talk on toxidrome. Resources: Toxidromes by Claire Plint 11/2015 Toxidromes from LITFL Toxicology Guidelines (onsite access only) Physical Exam Summary of Findings:
Here is Claire’s talk on the management of common withdrawal syndromes. Resources: Baclofen for alcohol withdrawal syndrome, Cochrane Review 4/2015 Lyon JE et al. Treating alcohol withdrawal with oral baclofen: a randomized, double-blind, placebo-controlled trial. J Hosp Med. 2011 Oct;6(8):469-74.
This guideline for the management of lithium toxicity should be used as an adjunct to the advice of the Clinical Toxicologist on call as well as the Toxicology Handbook. Date implemented – 4/2016 Review date – 4/2019 Author – Vlad
Here is Candice’s talk on Methaemoglobinaemia. Resources: Methaemoglobinaemia from LITFL’s Critical Care Compendium Methylene Blue from LITFL’s Critical Care Compendium
Here is Andy’s talk on the ECG changes seen with certain drug overdoses. Resources: Vera’s previous CME talk “ECG Manifestations of Drug Overdose” 5/2014 ECG in Toxicology from LITFL ECG changes in TCA Overdose from LITFL Cardiotoxic Drugs from WikiTox Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications. Christopher […]