Show Notes
In this episode we take a deep dive into assessing and managing acute behavioural disturbances that intoxicated patients frequently present with. We cover safety and security, medico-legal issues, capacity and consent, how to run a code grey/black, physical restraint, the extreme risk associated with prone restraint and medical assessment of these patients. If you enjoyed this episode, check out the Tox Course at etmonline.com
More from The Tox Course Podcast
In this episode we look at the emerging phenomenon of peptide use. These are non-regulated compounds being marketed in the performance and image enhancing drugs space (PIED). We focus on the large variety of compounds available, the limitations of the clinical evidence around their use in humans, and some of the complications and adverse effects being reported from their use.
In this episode, Nick Dafters & Ingrid Berling dive into the sharp rise of GHB (gamma-hydroxybutyrate) presentations across Australian Emergency Departments. They review recent literature on the incidence of aspiration events and unpack strategies to risk-stratify patients most vulnerable to severe complications as well as discussing the clinical challenge of delayed-onset toxicity caused by GHB precursors—especially when co-ingested with alcohol. There's a segment on the rare presentation of toxicity following a sting from a duck-billed platypus, the limited evidence around treatment options and the potential clinical sequelae. Finally, they review the rollout of the state-wide Electronic Medical Record (eMR) in NSW and its potential to transform future emergency and toxicology research. If you're interested in learning more about Emergency Toxicology, check out the Tox Course at ETM Online Growing burden of gamma-hydroxybutyrate intoxication on emergency department resource utilisation Indications for and complications of endotracheal intubation in gamma-hydroxybutyrate (GHB) overdoses admitted to a toxicology unit Trends in gamma-hydroxybutyrate use, harms and treatment in Australia, 2013 to 2024 A multicentre case series of analytically confirmed gamma-hydroxybutyrate intoxications in Western Australian emergency departments: Pre-hospital circumstances, co-detections and clinical outcomes Prevalence of GHB-Related Presentations to a Metropolitan Emergency Department in Melbourne Platypus Envenomation
This podcast is a preview for the much anticipated Tox Course Module 4 - Bites, stings and envenomation, soon to be released at etmonline.com In this episode we are joined by our expert guest, Professor Geoff Isbister. Geoff is head of the Clinical Toxicology Research Group at the University of Newcastle and is a world leading expert on Venom and Antivenom Research, having published over 340 original research publications on these topics. In this episode we discuss:
This is the second of a 2-part series on "Packers and Stuffers". In this episode Andy, Ingrid and Nick discuss body stuffing, or desperate drug concealment in the real world. We pulled this content from Module 2 of the Tox Course at ETM Online as we felt it was so valuable we should release it for free. If you haven't already, head over to ETM Online and check out modules 1, 2 and 3 of the Tox Course now!
This is the first of a 2-part series on "Packers and Stuffers". In this episode Andy, Ingrid and Nick discuss the process of managing a patient suspected of body packing (ingestion of large quantities of drugs for the purpose of smuggling) in the ED. We pulled this content from Module 2 of the Tox Course at ETM Online as we felt it was so valuable we should release it for free. Be sure to subscribe to the podcast and you can catch the next episode on body stuffers as well! If you haven't already, head over to ETM Online and check out modules 1, 2 and 3 of the Tox Course now!