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Full-Text Articles in Medicine and Health Sciences
Severe Hypokalaemic Metabolic Alkalosis Following Ingestion Of Gaviscon, I Gawarammana, J Coburn, S Greene, Paul Dargan, Alison Jones
Severe Hypokalaemic Metabolic Alkalosis Following Ingestion Of Gaviscon, I Gawarammana, J Coburn, S Greene, Paul Dargan, Alison Jones
Alison L Jones
Uncommon metabolic abnormalities in the emergency department could be a result of drug overdose due to uncommon agents. Case report. A 35-year-old male presented to the emergency department with a Glasgow Coma Scale (GCS) of 3/15 and a normal pulse rate and blood pressure. Subsequent questioning after recovery revealed he had ingested 2 L of Gaviscon® over the preceding 48 hours. He had normal haematology, liver, and renal function during admission. The electrocardiogram showed T wave inversion in the inferior leads on admission. Arterial blood gas on air was: pH 7.54, HCO3 50 mmol/L (50 meq/L), Chloride 66 mmol/L, anion …
Severe Iatrogenic Bismuth Poisoning With Bismuth Iodoform Paraffin Paste Treated With Dmps Chelation, Hanna Ovaska, David Wood, Ivan House, Paul Dargan, Alison Jones, Shona Murray
Severe Iatrogenic Bismuth Poisoning With Bismuth Iodoform Paraffin Paste Treated With Dmps Chelation, Hanna Ovaska, David Wood, Ivan House, Paul Dargan, Alison Jones, Shona Murray
Alison L Jones
Bismuth iodoform paraffin paste (BIPP) is used for the packing of wound and surgical cavities. Features of both bismuth and iodoform toxicities have been associated with the use of BIPP, but there are no previous reports of 2,3-dimercaptopropane-1-sulphonate(DMPS) chelation therapy for bismuth poisoning secondary to its use. Case Report. A 67-year-old man presented with a pelvic tumorrequiring extensive surgical resection. BIPP packing was required post-operatively for surgical wound breakdown. A few days after insertion, thepatient developed neurological features of bismuth toxicity (blood and urine bismuth concentrations were 340 μg/L and 2800 μg/L, respectively), which was treated with removal of the …
Case Report: Severe Mercuric Sulphate Poisoning Treated With 2,3-Dimercatopropane-1-Sulphonate And Haemodiafiltration, Paul Dargan, Lucy Giles, Craig Wallace, Ivan House, Alison Thomson, Richard Beale, Alison Jones
Case Report: Severe Mercuric Sulphate Poisoning Treated With 2,3-Dimercatopropane-1-Sulphonate And Haemodiafiltration, Paul Dargan, Lucy Giles, Craig Wallace, Ivan House, Alison Thomson, Richard Beale, Alison Jones
Alison L Jones
No abstract provided.
A Case Of Severe Mercuric Sulphate Ingestion Treated With 2,3-Kimercaptopropane 1 Sulphonate (Dmpd) And Hi-Flow Hemodiafiltration, Paul Dargan, Lucy Giles, Ivan House, N Murphy, Craig Wallace, Alison Jones, Richard Beale
A Case Of Severe Mercuric Sulphate Ingestion Treated With 2,3-Kimercaptopropane 1 Sulphonate (Dmpd) And Hi-Flow Hemodiafiltration, Paul Dargan, Lucy Giles, Ivan House, N Murphy, Craig Wallace, Alison Jones, Richard Beale
Alison L Jones
Objective: Our training program uses senior emergency medicine residents (SEMRs) as toxicology consultants, with the back-up of the physician toxicologist on-call. We assessed health care practitioner (HCP) satisfaction with this toxicology consulting service. Methods: For 5 months, HCPs who spoke to a toxicology consultant (SEMR or attending on-call toxicologist) were contacted by telephone and a 12 question survey was implemented. Results: 48 toxicology consultant cases were identified. 9 HCPs did not respond to initial or 3 follow-up calls. 3 surveys were eliminated because they were incomplete. Of the 36 completed surveys, 21 used the SEMR as consultant, and 15 used …
A Case Of Severe Iatrogenic Bismuth Poisoning, Paul Dargan, C Bailey, S Greene, Shona Murray, Alison Jones
A Case Of Severe Iatrogenic Bismuth Poisoning, Paul Dargan, C Bailey, S Greene, Shona Murray, Alison Jones
Alison L Jones
Background: In 1999, a new synthetic tryptamine, 5-MeO-DIPT, became known as a street drug, with the street name of ‘‘Foxy’’ or ‘‘Foxy Methoxy.’’ By February 2003, DEA reported law enforcement seizures and=or reports of abuse in 12 states. We report the first published case of toxicity. Methods: After an index case, AAPCC TESS data were examined to determine trends and extent of abuse of this agent. Case Report: A 19 year-old, multiple-pierced, male was brought to the emergency department following ingestion of ‘‘Foxy.’’ Upon arrival, he displayed hallucinations, hypertension, tachycardia, mydriasis, and catalepsy, inability to answer questions, and staring into …