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American Academy of Clinical Toxicology guidelines #Management #EM #Tox #Methanol #Poisoning #Algorithm #Fomepizole #ToxicAlcohol #ALiEM
guidelines #Management #EM ... #Tox #Methanol ... #Poisoning #Algorithm
Diagnostic Approach to Hyponatremia
Box A:
 • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose
 • Pseudohyponatremia:
Diagnostic Approach to ... Hyponatremia Box ... Ethlene Glycole Box ... Seizures, Confusion Box ... Hyponatremia #Diagnosis #Algorithm
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... least 30 ml.kg-1 (Box ... A, Box B) ... least 20 ml.kg-1 (Box ... pressure ≥ 65 mmHg (Box
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Box A: THROMBOEMBOLISM ... consult radiologist Box ... initial management Box ... plasmaphoresis Box
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Intraoperative Bronchospasm ... suspected airway see Box ... bronchospasm (Box ... bronchospasm (Box ... ventilation strategy (Box
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Ability to safely ... appropriate local plan (Box ... into theatre (Box ... essential equipment (Box ... Anesthesiology #Anesthesia #Intraoperative
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Intraoperative ... hypotension: use Box ... bradycardia: use Box ... underlying problem (Box ... transcutaneous pacing (Box
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... haemodynamic instability (Box ... ECG monitoring (Box ... trinitrate (GTN) (Box ... Anesthesiology #Anesthesia #Intraoperative
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... impending arrest: use Box ... underlying problems (Box ... rate control (Box ... cardioversion (Box
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
Intraoperative Massive ... person in theatre to ... if necessary (Box ... tranexamic acid (Box ... Anesthesiology #Anesthesia #Intraoperative