13:43:30 – Toxic Alcohols
Key Concepts • The classic finding of an elevated osmolar and anion gap should raise suspicion of methanol or ethylene glycol toxicity but may not be present depending on the…
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13:43:28 – Radiation Injuries
Key Concepts • Patients contaminated with radiation pose minimal risk to health care providers when appropriate precautions and decontamination procedures are employed. • Decontamination should not delay or impede emergency…
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13:43:25 – Electrical and Lightning Injuries
Acknowlegments The authors wish to acknowledge and thank Kelly P. O’Keefe and Rachel Semmons for their valuable contributions, expertise, and authorship of this chapter in previous editions. Key Concepts •…
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13:43:33 – Anticholinergics
Key Concepts • Anticholinergic (antimuscarinic) intoxication is common and can occur as a result of ingestion of a variety of plants and drugs, both prescription and over-the-counter. • Most patients…
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13:43:23 – Heat Illness
Key Concepts • Classic heatstroke is generally diagnosed in older patients with comorbidities during heat waves, whereas exertional heatstroke is more common in young athletic patients or military personnel. •…
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13:43:32 – Alcohol-Related Disease
Foundations Excess alcohol consumption places a significant burden on individuals and society. Globally, alcohol consumption is the seventh leading risk factor for both death and the burden of disease and…
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13:43:28 – Care of the Poisoned Patient
Key Concepts • Toxidromes are constellations of signs and symptoms based primarily on vital signs and neuropsychiatric functions that are characteristic manifestations of certain toxic exposures. Recognition of the presence…
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13:43:33 – Aspirin and Nonsteroidal Agents
Key Concepts • In the overdose setting, salicylates are profoundly toxic and can be fatal. Salicylate overdose requires vigilant assessment and treatment. The other nonsteroidal antiinflammatory drugs (NSAIDs) generally have…
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13:43:28 – Drowning
Key Concepts • Drowning is a leading cause of death and loss of years of life with over 90% of cases occurring in lower- and middle-income countries. Cost-effective prevention strategies…
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13:37:15 – Thyroid and Adrenal Disorders
Key Concepts Hyperthyroidism • Hyperthyroidism induces a hypermetabolic state and increases β-adrenergic activity. The resulting clinical manifestations range from vague constitutional symptoms to more organ-specific symptoms (see Box 117.1 )….
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