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Week 4: GI Emergencies & Pain

Abdominal PainSurgical EmergenciesParacetamol PoisoningAcute PainOpioids

title: "Week 4: Pain & Toxicology"

Week 4: Pain & Toxicology

1. Paracetamol Poisoning

Pharmacology & Toxicology

Normal Metabolism: Paracetamol → Phase II conjugation (sulphate/glucuronide) → Renally excreted

In Overdose: Phase II saturable → Phase I hydroxylation (cytochrome P450) → N-acetyl-p-benzoquinone imine (toxic metabolite)

  • N-acetyl-p-benzoquinone imine = N-acetyl-p-benzoquinone imine
  • Normally conjugated with glutathione → harmless excretion
  • Overdose depletes glutathione → NAPQI accumulates → hepatotoxicity
  • Massive overdose (>50g): paracetamol itself → mitochondrial toxicity

Types of Overdose

TypeDefinitionHepatotoxic Dose
Single Immediate ReleaseOne-time ingestion of regular paracetamol>10g OR >200 mg/kg
Modified Release (modified release)Panadol Osteo or sustained-release>10g OR >200 mg/kg
Repeated SupratherapeuticExcessive dosing over >24 hoursVariable (see below)

Repeated Supratherapeutic Ingestion Thresholds

DurationHepatotoxic Dose
Over 24 hours>10g OR >200 mg/kg
Over 48 hours>12g OR >300 mg/kg
>48 hours>4g/day with symptoms

Single Immediate Release: Management Algorithm

Time-Based Approach:

  • Less than 2 hours: Activated charcoal (50g) + Paracetamol/alanine aminotransferase at 4 hours
  • 2-8 hours: Paracetamol/ALT now → wait for result → use nomogram
  • More than 8 hours: START N-acetylcysteine (N-Acetylcysteine) immediately + Paracetamol/ALT
  • More than 24 hours: START NAC immediately

Paracetamol Overdose: Immediate Actions

Single immediate-release ingestion (time since ingestion)

Warning

Start N-acetylcysteine (N-Acetylcysteine) early — best within 8 hours of ingestion. If in doubt, START NAC while awaiting levels.

The Paracetamol Nomogram

  • Plot serum paracetamol level (Y-axis) against time since ingestion (X-axis)
  • ABOVE the line: Start NAC
  • BELOW the line: No NAC required
  • Double the line: Consider doubling Bag 2 dose
Clinical Pearl

Check Units!

Nomogram uses mg/L (left axis) or μmol/L (right axis). Common error: putting μmol/L value on mg/L scale → appears normal when actually toxic!

N-Acetylcysteine (NAC)

Mechanism

  • Provides cysteine for glutathione replenishment
  • Directly binds NAPQI
  • Can reduce NAPQI back to paracetamol
  • Antioxidant → helps liver repair

2-Bag Regime

BagDoseDuration
Bag 1200 mg/kgOver 4 hours
Bag 2100 mg/kgOver 16 hours

NAC protocol for paracetamol overdose: Double Bag 2 (200 mg/kg) if level is double the nomogram line (i.e., >50g ingestion or >1g/kg)

Cessation Criteria (2 hours before end of Bag 2)

  • Paracetamol level under 10 mg/L
  • alanine aminotransferase under 50 U/L (or peaked and decreasing)
  • international normalised ratio (International Normalised Ratio) under 2
  • No clinical symptoms (right upper quadrant pain, nausea, vomiting)

If criteria not met: Add Bag 3 (same as Bag 2) → repeat process

NAC Side Effects

CommonSerious
Nausea, vomitingAnaphylactoid reaction (rate-related)
Rash, bronchospasm, urticaria, angioedema, hypotension
Clinical Pearl

Anaphylactoid reaction management:

Stop NAC → Antihistamine + Adrenaline if severe → Once resolved, restart at slower rate

When to Call Liver Transplant Team

Warning

Modified King's College Criteria:

  • international normalised ratio (International Normalised Ratio) >3 with liver derangement
  • Creatinine >200
  • pH under 7.3 despite resuscitation
  • Hypotension despite resuscitation
  • Any encephalopathy

Call early — they prefer to say "no worries" than be called too late.


2. Acute Pain Management

Why Treat Acute Pain?

Untreated pain = sympathetic activation → harm:

  • Respiratory:functional residual capacity, ↓ventilation, atelectasis, pneumonia
  • Cardiovascular:heart rate (Heart Rate), ↑blood pressure (Blood Pressure), coronary vasoconstriction, ischaemia
  • gastrointestinal (Gastrointestinal): Ileus, constipation
  • Urinary: Retention
  • Metabolic: Hypercoagulable, impaired wound healing
  • Psychological: Anxiety, depression, sleep deprivation

Goals of Pain Management

Living the DREAM

Drinking, Eating, And Mobilising

The goal is NOT zero pain — it's return to function.

Clinical Pearl

Set expectations:

"Our aim is to make you comfortable most of the time and treat pain when it occurs." Complete pain relief at all times is unrealistic.

Multimodal Analgesia

Principle: Multiple drugs with different mechanisms → better analgesia, reduced opioid requirements

Drug ClassExampleRole
Simple analgesicParacetamol 1g four times daily (Quater In Die (four times daily))Cornerstone — reduces opioid need by 20-40%
non-steroidal anti-inflammatory drugIbuprofen 400mg three times daily (Ter Die Sumendum (three times daily))Especially good for movement pain
OpioidOxycodone, MorphineModerate-severe pain
AdjuvantPregabalin, GabapentinNeuropathic pain

WHO Analgesic Ladder (Quick Guide)

Mild pain: regular paracetamol 1 g four times daily (Quater In Die (four times daily)) ± as needed (Pro Re Nata (as needed)) NSAID (if not contraindicated).

Moderate pain: regular paracetamol + NSAID + PRN (Pro Re Nata (as needed)) weak opioid (e.g., codeine 30-60 mg QID (Quater In Die (four times daily)) or tramadol 50-100 mg QID (Quater In Die (four times daily))).

Severe pain: regular paracetamol + NSAID + PRN (Pro Re Nata (as needed)) morphine sulfate solution 20-30 mg oral (Per Os (by mouth)) every 2 hours (adjust for age/renal impairment).

Inhalational Analgesia

Entonox is 50% nitrous oxide + 50% oxygen with rapid onset and short duration. Avoid in trapped gas conditions (e.g., pneumothorax, bowel obstruction) and head injury.

SBAeasyanalgesiaentonox
Which condition is a contraindication to Entonox for analgesia?
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3. Opioids

Classification

CategoryExamples
Naturally occurringMorphine, Codeine
Semi-syntheticOxycodone, Hydrocodone
SyntheticFentanyl, Methadone, Tapentadol

Routes of Administration

RouteNotes
intravenous (Intravenous) patient-controlled analgesiaGold standard for post-op; patient controls boluses
OralWhen drinking/eating; immediate vs sustained release
intramuscular (Intramuscular)/subcutaneous (Subcutaneous)Poor pharmacokinetic profile; needle stick risk
Transdermal (patch)12-24h onset — NOT for acute pain
IntranasalFentanyl in emergency department (Emergency Department); good for children

IV (Intravenous) Opioids in Severe Pain

DrugDoseOnsetPeakDuration
Oxycodone1-2 mg5 min5-10 min2-3 hours
Fentanyl10-20 mcg3-5 min10-15 min~2 hours
Morphine1-2 mg5-10 min30-45 min3-4 hours

PCA start: morphine 1 mg bolus with 5-minute lockout. In severe renal impairment, fentanyl is preferred.

Oral Opioids

DrugOnsetDurationNotes
Oxycodone immediate release (Endone)30 min3-5 hoursGood bioavailability
Oxycodone sustained release (OxyContin)1-2 hours12 hourstwice daily (Bis Die (twice daily)) dosing
Tapentadol (Palexia)1 hour4-6 hoursDual mechanism: μ + noradrenaline
Clinical Pearl

Tapentadol advantages:

  • Less constipation, nausea than pure opioids
  • Negligible serotonin effects (safer than tramadol with selective serotonin reuptake inhibitors)
  • Equianalgesic conversion varies — consult eTG/local opioid conversion chart.

Opioid equivalence (approx): 10 mg oral morphine ≈ 3 mg morphine SC (Subcutaneous)/IV (Intravenous) ≈ 5 mg oral oxycodone IR ≈ 40 mg oral tramadol ≈ 100 mg oral dihydrocodeine ≈ 120 mg oral codeine.

Fentanyl patch: 25 mcg/hour ≈ 90 mg oral morphine/day; use only for ongoing chronic pain (not acute).

SBAmediumopioidsequianalgesic
10 mg oral morphine is approximately equivalent to which oral oxycodone immediate-release dose?
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SBAmediumopioidsPCArenal
Which opioid is preferred for PCA in severe renal impairment?
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SBAeasyopioidsPCA
What is the standard starting PCA morphine setting in post-operative pain?
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SBAmediumopioidsfentanylequianalgesic
A fentanyl patch delivering 25 mcg/hour provides approximately what oral morphine equivalent per day?
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Opioid Side Effects

Side EffectNotes
SedationFIRST sign of overdose — precedes respiratory depression
Respiratory depressionLate sign; monitor sedation scores
Nausea/vomitingCommon; antiemetics
ConstipationUniversal; laxatives
PruritusChest/neck/face distribution = opioid-induced
Urinary retentionMonitor output
Warning

Signs of Opioid Toxicity:

  • Sedation (earliest sign!)
  • Pinpoint pupils
  • Respiratory depression

Treatment: Stop opioid → O₂ → Naloxone 40-80 mcg intravenous (Intravenous) aliquots (titrate gently)

For opioid toxicity, titrate naloxone 40-80 mcg IV to respiratory rate rather than full alertness.

Opioid Pharmacology Pearls

Opioid receptors:

  • μ: analgesia, respiratory depression, miosis, nausea/vomiting, pruritus
  • κ: analgesia, sedation, dysphoria
  • δ: analgesia

Q: Which morphine metabolite is more potent and accumulates in renal impairment? A: Morphine-6-glucuronide

Codeine is a prodrug requiring CYP2D6 conversion to morphine. Poor metabolisers have little analgesia; ultra-rapid metabolisers risk toxicity.

Fentanyl is highly lipid-soluble → short duration from redistribution; metabolites are inactive.

Pethidine (meperidine) forms norpethidine (long half-life, neurotoxic) and should be avoided in renal impairment. It can be used for post-op shivering.

Naloxone is effective for ~60 minutes; monitor for re-sedation in long-acting opioid toxicity.

SBAeasyopioidsreceptors
Which opioid receptor is most associated with respiratory depression and miosis?
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SBAmediumopioidspethidinerenal
4yPost-operative

What is the key concern?

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SBAmediumopioidscodeineCYP2D6
A patient reports no analgesia from codeine despite standard dosing. What is the most likely explanation?
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Tolerance & Withdrawal

  • Tolerance: Need increasing doses for same effect; can develop in 7 days
  • Withdrawal: Hypertension, tachycardia, sweating, agitation
  • Prevention: Taper slowly; warn patient about unusual feelings

4. Non-Opioid Analgesics

non-steroidal anti-inflammatory drugs

Q: Moderate pain: ibuprofen [___] mg can be effective and reduce opioid requirements. A: 400

Examples of COX-2 selective NSAIDs (with typical doses): celecoxib 200 mg, parecoxib 20 mg, valdecoxib 20 mg.

Non-selective NSAIDTypical dose
Diclofenac50 mg
Ibuprofen400 mg
Ketorolac10 mg
SBAeasyNSAIDsCOX-2
Which of the following is a COX-2 selective NSAID?
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Contraindications

  • Renal impairment / dehydration
  • Active peptic ulcer disease / gastrointestinal (Gastrointestinal) bleeding
  • Aspirin-sensitive asthma
  • Concurrent nephrotoxics (aminoglycosides)

Avoid NSAIDs in renal impairment, active GI (Gastrointestinal) bleeding/PUD, aspirin-sensitive asthma, or with nephrotoxics.

Clinical Pearl

Safe non-steroidal anti-inflammatory drug prescribing:

  • Choose short half-life (ibuprofen, diclofenac)
  • Check renal function and hydration
  • Put a stop date on the chart (3-5 days)

Ceiling effect: Increasing dose beyond recommended doesn't improve analgesia — just increases side effects.

Tramadol

  • Weak μ-receptor agonist + serotonin/noradrenaline reuptake inhibition
  • Requires cytochrome P450 2D6 metabolism to M1 (active metabolite) — variable between patients
  • Less constipating than pure opioids
  • Less respiratory depression and lower abuse potential than pure opioids

Tramadol is a weak μ-opioid agonist and serotonin/noradrenaline reuptake inhibitor.

Warning

Tramadol risks:

  • Serotonin syndrome (especially with selective serotonin reuptake inhibitors)
  • Lowered seizure threshold
  • Variable efficacy (genetic polymorphism)

Neuropathic Pain

Features suggesting neuropathic pain:

  • Burning, stabbing, electric shock descriptors
  • Paroxysmal (comes and goes)
  • Hyperalgesia or allodynia on exam
  • Poor response to opioids

Treatment: Pregabalin or Gabapentin; refer to pain specialist


5. Abdominal Pain

Types of Abdominal Pain

TypeMechanismCharacter
VisceralOrgan inflammation (before peritoneal irritation)Vague, poorly localised, central
SomaticPeritoneal irritationWell-localised, sharp, worse with movement
ReferredShared nerve pathwaysPain felt distant from source (e.g., shoulder tip)
Clinical Pearl

Classic example: Appendicitis

Starts as vague central/periumbilical pain (visceral) → migrates to right iliac fossa (somatic as peritoneum irritated)

Key Diagnoses Overview

DiagnosisPain LocationKey Features
AppendicitisCentral → right iliac fossaMigratory pain, McBurney's point, peritonism
Cholecystitisright upper quadrant / epigastricMurphy's sign, referred shoulder tip, 4 F's
Diverticulitisleft iliac fossa (usually)Fever, ↑white cell count (White Cell Count), computed tomography (Computed Tomography) confirms
PancreatitisEpigastric → backSevere, boring; ↑lipase; GET SMASHED causes
abdominal aortic aneurysmCentral / backPulsatile mass, shock, bedside ultrasound scan (Ultrasound Scan)
Renal colicLoin → groinColicky, restless patient, haematuria
Mesenteric ischaemiaCentral (vague)Pain out of proportion, atrial fibrillation (Atrial Fibrillation), HIGH lactate
small bowel obstructionCentral, colickyVomiting, distension, no flatus, surgical scars
Ectopic pregnancyUnilateral lowerFemale, beta human chorionic gonadotropin+, free fluid on USS

Appendicitis

  • Risk factors: Any age (peak 10-30), slight male preponderance
  • Pain: Migratory (central → right iliac fossa) in ~50-60%
  • Exam: RIF tenderness, guarding, rebound; positive Rovsing's, obturator, psoas signs
  • Labs:white cell count (White Cell Count), ↑C-reactive protein (C-Reactive Protein) (may be normal early)
  • Imaging: computed tomography (Computed Tomography) if uncertain; ultrasound difficult in adults
  • Management: Analgesia, intravenous (Intravenous) fluids, antibiotics, surgical referral

Pancreatitis

GET SMASHED
  • G - Gallstones (most common)
  • E - Ethanol (most common)
  • T - Trauma
  • S - Steroids
  • M - Mumps
  • A - Autoimmune
  • S - Scorpion venom
  • H - Hyperlipidaemia / Hypercalcaemia
  • E - endoscopic retrograde cholangiopancreatography
  • D - Drugs
  • Diagnosis: Lipase (NOT amylase — less specific)
  • Imaging: computed tomography (Computed Tomography) lags behind clinical picture; used for complications
  • Management: Analgesia, aggressive intravenous (Intravenous) fluids, nil by mouth (Nil By Mouth), nasogastric if vomiting

Severity Assessment

Lipase elevation does NOT predict severity — use prognostic scoring systems to identify severe pancreatitis early.

Modified Glasgow (IMRIE) Score — assess within 48 hours:

FactorThreshold
P - partial pressure of oxygen<8 kPa (60 mmHg)
A - Age>55 years
N - Neutrophils (white cell count (White Cell Count))>15 × 10⁹/L
C - Calcium<2 mmol/L
R - Renal (urea)>16 mmol/L
E - Enzymes (lactate dehydrogenase)>600 U/L
A - Albumin<32 g/L
S - Sugar (glucose)>10 mmol/L
PANCREAS for Glasgow Score
  • P - partial pressure of oxygen <8 kPa
  • A - Age >55
  • N - Neutrophils (white cell count (White Cell Count)) >15
  • C - Calcium <2
  • R - Renal (urea) >16
  • E - Enzymes (lactate dehydrogenase) >600
  • A - Albumin <32
  • S - Sugar >10

Interpretation:

  • Score ≥3 = Severe pancreatitishigh dependency unit (High Dependency Unit)/intensive care unit (Intensive Care Unit) admission
  • Score <3 = Mild pancreatitis → ward-based management

C-reactive protein (C-Reactive Protein) >150 mg/L at 48 hours is a reliable marker of severe pancreatitis and local complications. CRP rises with inflammation and necrosis.

SBAmediumpancreatitisseverity-assessment
In acute pancreatitis, an increase in which of the following is most indicative of severe disease at 48 hours?
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Mesenteric Ischaemia

Warning

Classic triad:

  • Severe abdominal pain
  • Soft abdomen (pain out of proportion to exam)
  • atrial fibrillation (Atrial Fibrillation) or vascular risk factors

Investigation: HIGH lactate, computed tomography (Computed Tomography) mesenteric angiogram

Treatment: Emergency surgery

AAA (Ruptured/Leaking)

  • Risk factors: Male, >60, smoker, hypertension
  • Pain: Central abdominal → back; can mimic renal colic
  • Exam: Pulsatile expansile mass; hypotension if ruptured
  • Investigation: Bedside ultrasound scan (Ultrasound Scan) (quick diagnosis)
  • Management: 2 wide-bore cannulae, crossmatch 6 units, permissive hypotension, emergency vascular surgery
Clinical Pearl

Permissive hypotension:

If patient is awake and talking with blood pressure (Blood Pressure) ~90 systolic — don't push fluids to raise BP to 120. Higher BP may dislodge clot → worse bleeding.


6. Practice Questions

SBAmediumparacetamoltoxicology
22y

What is the most appropriate next step?

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SBAmediumNACtoxicology
70y
BP
110/70
Rash

What is the management?

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SBAeasyopioidstoxicity
Which is the EARLIEST sign of opioid toxicity?
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SBAmediumabdominal painmesenteric ischaemia
65y
Temp
NaN°C
Abdominal pain
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SBAeasyanalgesiaparacetamol
Regular paracetamol 1g QID (Quater In Die (four times daily)) has been shown to reduce opioid requirements by approximately:
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SBAmediumNSAIDsanalgesia
Which NSAID characteristic is preferred for acute pain management?
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SBAeasyabdominal painappendicitis
A patient with appendicitis has pain that started centrally and migrated to RIF. This represents:
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SBAhardNACparacetamol
The NAC (N-Acetylcysteine) cessation criteria include all EXCEPT:
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SBAhardToxidrome
39y
Temp
39.2°C

What is the most appropriate next step?

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SBAhardNaloxone
A patient with suspected sustained-release opioid overdose responds to 0.8 mg naloxone IV (Intravenous) (respiratory rate normalizes) but re-sedates 20 minutes later. What naloxone infusion rate is most appropriate?
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SBAhardMultimodal
75y
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7. Toxidromes

Toxidrome: A constellation of signs and symptoms suggesting a specific class of poisoning.

Major Toxidromes

ToxidromeMechanismCausesKey Features
Opioidμ-receptor agonismHeroin, morphine, fentanyl, oxycodoneMiosis (pinpoint pupils), respiratory depression, sedation
Sedative-Hypnoticgamma-aminobutyric acid enhancementBenzodiazepines, barbiturates, gamma-hydroxybutyrateSedation, ataxia, respiratory depression
SympathomimeticAdrenergic crisisAmphetamines, cocaine, methylenedioxymethamphetamineMydriasis, tachycardia, hypertension (Hypertension), hyperthermia, agitation
Serotonin↑ central 5-hydroxytryptamine (serotonin)selective serotonin reuptake inhibitors, serotonin-noradrenaline reuptake inhibitors, tramadol, monoamine oxidase inhibitorsClonus, hyperreflexia, hyperthermia, agitation
AnticholinergicMuscarinic blockadetricyclic antidepressants, antihistamines, atropine"Mad, hot, dry, blind" - confusion, hyperthermia, dry skin, mydriasis
Cholinergicacetylcholine at receptorsOrganophosphates, carbamatesDUMBELLS: Diarrhoea, Urination, Miosis, Bradycardia, Emesis, Lacrimation, Lethargy, Salivation
Anticholinergic Toxidrome

"Hot as a hare, blind as a bat, dry as a bone, red as a beet, mad as a hatter"

  • Hot = hyperthermia
  • Blind = mydriasis (dilated pupils)
  • Dry = anhidrosis, urinary retention
  • Red = flushing
  • Mad = delirium, confusion
Cholinergic Toxidrome - DUMBELLS
  • D - Diarrhoea, Diaphoresis
  • U - Urination
  • M - Miosis
  • B - Bradycardia, Bronchospasm
  • E - Emesis
  • L - Lacrimation
  • L - Lethargy
  • S - Salivation

Serotonin Syndrome

Clinical Triad:

  1. Autonomic: hyperthermia, diaphoresis, tachycardia, hypertension
  2. Neuromuscular: hyperreflexia, clonus (especially lower limbs), rigidity
  3. Mental status: agitation, confusion
Clinical Pearl

Key differentiator: Lower limb clonus > upper limb. Hyperreflexia present (vs NMS which has rigidity and bradyreflexia).

Management:

  • Stop offending agent
  • Benzodiazepines for agitation
  • Cyproheptadine (5-HT antagonist)
  • Cooling for hyperthermia

Neuroleptic Malignant Syndrome (neuroleptic malignant syndrome (Neuroleptic Malignant Syndrome))

Featureneuroleptic malignant syndrome (Neuroleptic Malignant Syndrome)Serotonin Syndrome
OnsetDaysHours
CausesAntipsychotics, dopamine withdrawalselective serotonin reuptake inhibitors, monoamine oxidase inhibitors, opioids
Muscle tone"Lead pipe" rigidityHyperreflexia, clonus
ReflexesDecreasedIncreased
creatine kinaseVery highMildly elevated

Management: Stop antipsychotic, cooling, intravenous (Intravenous) fluids, bromocriptine or dantrolene

Sodium Channel Blocker Toxicity

Warning

electrocardiogram (Electrocardiogram) signs of sodium channel blockade (e.g. tricyclic antidepressant overdose):

  • QRS complex (QRS Complex) >100 ms
  • Terminal R wave in aVR >3 mm
  • R/S ratio >0.7 in aVR

Treatment: sodium bicarbonate to achieve pH 7.5-7.55

Clinical Approach: RRSI DEAD

Toxicology Approach
  • R - Resuscitation
  • R - Risk assessment
  • S - Supportive care
  • I - Investigations/monitoring
  • D - Decontamination (charcoal if <2 hrs)
  • E - Enhanced elimination (dialysis, urinary alkalinisation)
  • A - Antidotes
  • D - Disposition

Key Antidotes

ToxinAntidote
ParacetamolN-acetylcysteine (N-Acetylcysteine)
OpioidsNaloxone
BenzodiazepinesFlumazenil (use with caution)
Beta-blockersGlucagon, High-dose insulin-euglycaemic therapy
Calcium channel blockersCalcium, High-dose insulin-euglycaemic therapy
DigoxinDigibind (Fab fragments)
Tricyclicssodium bicarbonate
WarfarinVitamin K, Prothrombinex, fresh frozen plasma
Methanol/Ethylene glycolFomepizole or Ethanol
OrganophosphatesAtropine, Pralidoxime
Cyanide (smoke inhalation)Hydroxocobalamin ± sodium thiosulfate

Antidote Dosing Pearls (adult, local protocol)

ScenarioTypical regimenNotes
Beta-blocker overdoseGlucagon 5-10 mg IV bolus, then 1-5 mg/hr infusionNausea/vomiting common; consider HIET
Calcium channel blocker overdoseCalcium chloride 10% 10-20 mL IV (or calcium gluconate 10% 30-60 mL), repeat as neededCalcium chloride via central line if possible
HIET for BB/CCBInsulin 1 unit/kg IV bolus + dextrose, then 0.5-1 unit/kg/hr infusionMonitor glucose and potassium closely
Digoxin toxicityDigoxin-specific Fab if life-threatening arrhythmia or potassium over 5.5 mmol/LAvoid calcium ("stone heart")
Organophosphate poisoningAtropine 1-2 mg IV, double every few minutes to dry secretions + pralidoximeEndpoint is airway dryness, not pupils

High-dose insulin euglycaemic therapy (HIET) improves inotropy in beta-blocker/CCB toxicity but requires close glucose and potassium monitoring.

HIET improves cardiac output by providing myocardial carbohydrate substrate and enhancing inotropy, not by lowering the drug level.

Beta-blocker overdose: use glucagon or high-dose insulin euglycaemic therapy (HIET).

Organophosphate toxicity is treated with atropine + pralidoxime.

Atropine treats muscarinic effects (secretions, bronchospasm, bradycardia); pralidoxime reactivates acetylcholinesterase to reverse nicotinic weakness. Give pralidoxime early before enzyme "aging".

Digoxin toxicity: give Digibind (Fab fragments).

Digoxin-specific Fab is indicated for life-threatening arrhythmias or hyperkalaemia (potassium over 5.5 mmol/L).

Each digoxin Fab vial binds about 0.5 mg digoxin; if ingestion is unknown and unstable, an empiric 10 vials is commonly used per toxicology advice.

After digoxin Fab, serum digoxin levels rise (bound + unbound) and are not reliable; monitor clinically and follow potassium.

Organophosphate poisoning: atropine is titrated to dry secretions, not pupil size; doses are much higher than cardiac bradycardia dosing.

TCA overdose with wide QRS: treat with sodium bicarbonate.

Q: Antidote for suspected cyanide toxicity (smoke inhalation with severe lactic acidosis)? A: Hydroxocobalamin ± sodium thiosulfate

Toxic alcohol ingestion (methanol or ethylene glycol): give fomepizole (or ethanol if unavailable) and involve toxicology early.

SBAeasytoxidromesbeta-blocker overdoseantidotes
HR
bradycardia
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SBAmediumtoxidromesbeta-blocker overdoseglucagon
Which regimen best matches typical glucagon dosing for beta-blocker overdose?
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SBAmediumtoxidromesHIETbeta-blockercalcium channel blocker
Which dosing best matches high-dose insulin euglycaemic therapy (HIET) for beta-blocker/CCB toxicity?
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SBAmediumtoxidromesorganophosphatepralidoxime
Which statement about pralidoxime in organophosphate poisoning is most accurate?
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SBAmediumtoxidromescalcium channel blockerantidotes
HR
Brady
BP
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SBAmediumtoxidromesdigoxinantidotes
Which finding is a standard indication for digoxin-specific Fab fragments?
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SBAmediumtoxidromesdigoxinantidotes
Approximately how much digoxin does one vial of digoxin Fab bind?
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SBAmediumtoxidromesdigoxinantidotes
After giving digoxin-specific Fab fragments, how should serum digoxin levels be interpreted?
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SBAmediumtoxidromesorganophosphateatropine
In organophosphate poisoning, what is the endpoint for atropine titration?
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SBAmediumtoxidromescyanideantidotes
A burn patient develops severe lactic acidosis after smoke inhalation. Which antidote is most appropriate for suspected cyanide toxicity?
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SBAmediumtoxidromestoxic alcoholsantidotes
A patient presents after ingesting antifreeze. Which antidote is recommended?
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SBAmediumtoxidromesbenzodiazepineflumazenil
Which scenario makes flumazenil unsafe in suspected benzodiazepine overdose?
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SBAmediumtoxidromesopioidnaloxone
In opioid toxicity, naloxone should be titrated to which endpoint?
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SBAeasytoxidromestoxic alcoholsfomepizole
Fomepizole works primarily by inhibiting which enzyme?
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SBAmediumtoxidromesorganophosphatepralidoxime
In organophosphate poisoning, which problem is most directly improved by pralidoxime rather than atropine?
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8. Abdominal Emergencies in ED

Cannot-Miss Diagnoses

Warning

Surgical emergencies — must diagnose urgently:

  • Ruptured abdominal aortic aneurysm → pulsatile mass, shock, >60yo male
  • Mesenteric ischaemia → pain out of proportion, AF, high lactate
  • Testicular/ovarian torsion → sudden onset, young patient
  • Small bowel obstruction with strangulation → vomiting, distension, peritonism, ↑lactate
  • Perforated viscus → peritonism, free air on erect CXR
  • Ectopic pregnancy → female of reproductive age, positive βHCG, free fluid

Surgical vs Medical Abdomen

FeatureSurgical AbdomenMedical Abdomen
PeritonismPresent (guarding, rebound, rigidity)Absent
Bowel soundsAbsent or high-pitched (obstruction)Present
LocalisationOften well-localised initiallyMay be diffuse
ProgressionWorsening, new signsStable or improving
ExamplesAppendicitis, perforation, torsionPancreatitis, gastroenteritis, IBS

9. Abdominal Imaging

Abdominal X-ray (AXR)

3/6/9 Rule for bowel diameter:

  • Small bowel: >3 cm = dilated
  • Large bowel: >6 cm = dilated
  • Caecum: >9 cm = dilated (perforation risk)

AXR findings to look for:

FindingSuggests
Dilated small bowel + air-fluid levelsSmall bowel obstruction
Dilated large bowelLarge bowel obstruction or pseudo-obstruction
Free air under diaphragmPerforated viscus (erect CXR more sensitive)
Sentinel loopLocalised ileus (pancreatitis, appendicitis)
CalcificationsGallstones (10% radio-opaque), renal stones (90% radio-opaque), AAA

Erect CXR for Free Air

Free air under diaphragm = perforation until proven otherwise.

Best seen on erect CXR (more sensitive than AXR). Patient must be upright ≥10 minutes.

CT Abdomen Indications

  • Haemodynamically stable trauma (unstable → theatre or IR)
  • Suspected perforation with equivocal plain films
  • Appendicitis (if clinical diagnosis uncertain)
  • Diverticulitis (severity assessment)
  • Pancreatitis complications (necrosis, abscess — not for initial diagnosis)
  • Mesenteric ischaemia (CT mesenteric angiogram)
  • Renal colic (CT KUB — non-contrast for stones)

10. Chronic Pain Overview

Chronic pain = pain persisting >3 months (or beyond expected healing time).

Key concept: Central sensitisation — the nervous system amplifies pain signals, making normal stimuli painful (allodynia) and painful stimuli more painful (hyperalgesia).

Risk Factors for Chronification

FactorMechanism
CatastrophisingCognitive amplification of pain experience
Fear-avoidanceAvoiding activity → deconditioning → more pain
Poor sleepImpairs descending inhibition
Depression/anxietyShared neurobiological pathways with pain
Inadequately treated acute painPeripheral and central sensitisation
Opioid dependenceOpioid-induced hyperalgesia

Non-Pharmacological Approaches

Biopsychosocial approach:

  • Exercise — graded activity, physiotherapy (strongest evidence)
  • Psychology — CBT, acceptance and commitment therapy
  • Education — understanding pain neuroscience reduces catastrophising
  • Sleep hygiene — improving sleep improves pain
  • Social — return to work, social engagement
Clinical Pearl

Opioids are NOT first-line for chronic non-cancer pain.

Long-term opioids → tolerance, dependence, opioid-induced hyperalgesia, endocrine dysfunction, falls. Focus on functional goals (DREAM), not pain scores.


11. Antiemetics

DrugReceptor TargetDoseBest For
Ondansetron5-HT₃ antagonist4-8 mg IV/POPost-op, chemotherapy, gastroenteritis
MetoclopramideD₂ antagonist + prokinetic10 mg IV/PO TDSGastroparesis, post-op (avoid in bowel obstruction)
CyclizineH₁ antagonist50 mg IV/PO TDSVestibular causes, opioid-induced
DexamethasoneAnti-inflammatory (central)4-8 mg IVPost-op (adjunct), raised ICP
DroperidolD₂ antagonist (butyrophenone)0.625-1.25 mg IVPost-op, opioid-induced (caution: QT prolongation)
Warning

Do NOT give metoclopramide in bowel obstruction!

Prokinetic action against a mechanical obstruction → perforation risk.

SBAmediumantiemeticspost-op-nausea
A post-operative patient is nauseated and vomiting. They are also on an opioid PCA. Which antiemetic targets the most relevant receptor?
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12. Respiratory Failure Cases (Clinical Application)

Applying Type 1 vs Type 2 Respiratory Failure

FeatureType 1 (Hypoxaemic)Type 2 (Hypercapnic)
PaO₂Low (<60 mmHg)May be low
PaCO₂Normal or lowHigh (>45 mmHg)
MechanismV/Q mismatch, shunt, diffusion impairmentAlveolar hypoventilation
Common causesPneumonia, PE, ARDS, pulmonary oedemaCOPD exacerbation, neuromuscular, overdose
O₂ therapyHigh-flow safeControlled O₂ (risk of worsening hypercapnia)

ABG Interpretation Framework

Systematic ABG approach:

  1. pH — acidotic (<7.35) or alkalotic (>7.45)?
  2. PaCO₂ — respiratory component (normal 35-45 mmHg)
  3. HCO₃⁻ — metabolic component (normal 22-26 mmol/L)
  4. Compensation — is the other system compensating?
  5. A-a gradient — normal <15 mmHg (increases with age: age/4 + 4)

Clinical Scenario: COPD Exacerbation

ParameterValueInterpretation
pH7.28Acidotic
PaCO₂68 mmHgHigh → respiratory acidosis
HCO₃⁻32 mmol/LHigh → chronic compensation (metabolic alkalosis)
PaO₂52 mmHgHypoxaemic
DiagnosisAcute-on-chronic Type 2 respiratory failureCOPD with acute exacerbation
TreatmentControlled O₂ (target SpO₂ 88-92%), NIV if pH <7.35Salbutamol + ipratropium + prednisolone + antibiotics

Clinical Scenario: Pneumonia

ParameterValueInterpretation
pH7.48Alkalotic
PaCO₂28 mmHgLow → respiratory alkalosis (hyperventilating)
HCO₃⁻24 mmol/LNormal (no compensation yet = acute)
PaO₂55 mmHgHypoxaemic
A-a gradientElevatedSuggests parenchymal disease (not hypoventilation)
DiagnosisType 1 respiratory failurePneumonia causing V/Q mismatch
TreatmentHigh-flow O₂ safe, antibiotics, consider NIV if worsening
SBAhardrespiratory-failureABGCOPD
7y
ABG
pH
7.30
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SBAmediumtoxidromessympathomimetic
140y
HR
140bpm
BP
180/110↑↑
Temp
40°C↑↑
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SBAmediumserotonin syndromedrug interactions
Temp
hyperthermia

What is the diagnosis?

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SBAhardTCA toxicitysodium channel blockade
A TCA overdose shows QRS (QRS Complex) of 140ms on ECG (Electrocardiogram). What is the most appropriate treatment?
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Week 4 Study Checklist

Click to expand or view deep dives

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Paracetamol toxicity mechanism (NAPQI)
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Hepatotoxic dose thresholds
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Time-based approach to paracetamol OD
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NAC regime and cessation criteria
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Why treating pain matters
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Multimodal analgesia approach
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Opioid side effects
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Visceral vs somatic pain
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Key features of major abdominal diagnoses
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Mesenteric ischaemia triad
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Cannot-miss abdominal emergencies
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3/6/9 rule for bowel dilation
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Chronic pain and central sensitisation
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Antiemetic receptor targets
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Type 1 vs Type 2 respiratory failure