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. [PDF Guideline] 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 […]