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Substance Abuse and Toxicology CME 2007

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This document reviews signs and symptoms of substance abuse and overdose for various classes of drugs. It provides protocols for poisoning/intoxication calls including treatment with activated charcoal, naloxone, and syrup of ipecac. Special considerations are discussed for common calls involving alcohol intoxication, illegal drug use, and intentional overdose/suicide attempts.

EducationHealth & Medicine
1 of 30
Substance Abuse/Toxicology CME December 5, 2007 Samuel Kim Lawren Wellisch
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Opioids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedative-Hypnotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extra information on Alcohol From Mosby’s Paramedic Textbook, Revised Third Edition, Table 36-5
Anti-cholinergics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sympathomimetics / Stimulants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hallucinogens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NSAIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Protocols and General Standards of Care
RI Protocol: Poisoning and Overdose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RI Protocol: Impaired Consciousness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Activated Charcoal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Naloxone (Narcan) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Syrup of Ipecac ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sodium bicarbonate (NaHCO 3 ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GENERAL STANDARDS OF CARE
ALWAYS! HISTORY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ALWAYS! HISTORY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ALWAYS! TREATMENT ,[object Object],[object Object],[object Object],[object Object]
ALWAYS! EMT HEALTH AND SAFETY ,[object Object],[object Object],[object Object],[object Object]
Avoid Tunnel Vision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contacting poison control ,[object Object],[object Object],[object Object],[object Object]
SPECIAL CONSIDERATIONS for COMMON CALLS
Alcohol/EtOH Intoxication GUIDELINES FOR TRANSPORT TO UHS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alcohol/EtOH Intoxication GUIDELINES FOR REFUSALS ,[object Object],[object Object],[object Object],[object Object]
Illegal Substances SHOULD YOU TELL?? ,[object Object],[object Object]
Suicide Attempts ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Suicide Attempts REFUSALS ,[object Object],[object Object],[object Object],[object Object],[object Object]

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