Emergency Medicine

156 Infectious Disease and Foreign Travel Emergencies TUBERCULOSIS 2 Pulmonary tuberculosis has a significant risk of secondary ...

Infectious Disease and Foreign Travel Emergencies 157 Bites with Rabies or other Lyssavirus Risk Rabies and Lyssavirus risk DIAG ...

158 Infectious Disease and Foreign Travel Emergencies Common Imported Diseases of Travellers (i) PEP is a combination of human r ...

Infectious Disease and Foreign Travel Emergencies 159 COMMON IMPORTED DISEASES OF TR AVELLERS Malaria DIAGNOSIS 1 Falciparum mal ...

160 Infectious Disease and Foreign Travel Emergencies COMMON IMPORTED DISEASES OF TR AVELLERS oliguria, severe anaemia, hypoglyc ...

Infectious Disease and Foreign Travel Emergencies 161 COMMON IMPORTED DISEASES OF TR AVELLERS MANAGEMENT 1 Commence i.v. rehydra ...

162 Infectious Disease and Foreign Travel Emergencies COMMON IMPORTED DISEASES OF TR AVELLERS (i) Other tick-borne spotted fever ...

Infectious Disease and Foreign Travel Emergencies 163 Pandemic Influenza ● A pandemic is a global outbreak of a new type of infe ...

164 Infectious Disease and Foreign Travel Emergencies Further Reading Australian Department of Health and Ageing (2008) The Aust ...

TOXICOLOGY Section V ...

166 Tox icolog y Most cases of acute poisoning are acts of deliberate self-harm in the adult, but they are usually accidental in ...

Tox i c o l o g y 16 7 ACUTE POISONING: GENERAL PRINCIPLES (iv) Look for clues to the substance taken (‘toxidrome’): (a) dilated ...

168 Tox icolog y ACUTE POISONING: GENERAL PRINCIPLES respiratory rate is below 10/min and opioid intoxication is suspected (see ...

Tox i c o l o g y 16 9 Specific Poisons 6 Enhanced elimination Consider for specific poisonings in consultation with the ICU. Ob ...

170 Tox icolog y SPECIFIC POISONS Paracetamol DIAGNOSIS 1 Paracetamol overdose is common and potentially lethal. 2 Hepatocellula ...

Tox i c o l o g y 171 SPECIFIC POISONS 2 Review the blood results: (i) Plot the serum paracetamol level on the paracetamol nomog ...

172 Tox icolog y SPECIFIC POISONS (ii) A potentially toxic ingestion of paracetamol (more than 20 tablets or 200 mg/kg) in a pat ...

Tox i c o l o g y 17 3 SPECIFIC POISONS (iii) 300–500 mg/kg: severe toxicity with hyperthermia, marked dehydration, agitation, c ...

174 Tox icolog y SPECIFIC POISONS 7 Otherwise observe all patients with clinical salicylate toxicity for a minimum of 12 h until ...

Tox i c o l o g y 175 SPECIFIC POISONS 3 Administer activated charcoal as soon as possible once the airway is secured, to all pa ...