• Emerg. Med. Clin. North Am. · May 2007

    Review

    The approach to the patient with an unknown overdose.

    • Timothy B Erickson, Trevonne M Thompson, and Jenny J Lu.
    • Department of Emergency Medicine, Division of Clinical Toxicology, University of Illinois at Chicago, Toxikon Consortium, Chicago, IL 60612, USA. toxboy@uic.edu
    • Emerg. Med. Clin. North Am. 2007 May 1; 25 (2): 249-81; abstract vii.

    AbstractToxic overdose can present with various clinical signs and symptoms. These may be the only clues to diagnosis when the cause of toxicity is unknown at the time of initial assessment. The prognosis and clinical course of recovery of a patient poisoned by a specific agent depends largely on the quality of care delivered within the first few hours in the emergency setting. Usually the drug or toxin can be quickly identified by a careful history, a directed physical examination, and commonly available laboratory tests. Once the patient has been stabilized, the physician must consider how to minimize the bioavailability of toxin not yet absorbed, which antidotes (if any) to administer, and if other measures to enhance elimination are necessary.

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