الخميس، 11 ربيع الثاني، 1437 الخميس، 11 ربيع الثاني، 1437...

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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مدبولى/ جودة المنعم عبد مدبولى/ د جودة المنعم عبد د, اإلكلينيكية السموم و الشرعي الطب ,دكتوراة اإلكلينيكية السموم و الشرعي الطب دكتوراة, اإلكلينيكية السموم و الشرعي الطب ,مدرس اإلكلينيكية السموم و الشرعي الطب مدرس

التسمم عالج التسمم استشاري عالج استشاري

الرحمن الله الرحمن بسم الله بسمالرحيمالرحيم1st Aid

In Clinical Toxicology

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ObjectivesObjectives::1.1. 11stst Aid Management of intoxicated Pt. Aid Management of intoxicated Pt.

in Emergency Room.in Emergency Room.2.2. Common toxic cases & Common toxic cases & antidotes.antidotes.

3.3. Non toxic ingestions at home.Non toxic ingestions at home.

4.4. Home treatment.Home treatment.

5.5. Sure signs of death.Sure signs of death.

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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Medicolegal AspectsMedicolegal Aspects::

keep samples.keep samples. write a report.write a report. Inform authority.Inform authority.

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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Common toxic Common toxic cases & antidotescases & antidotes

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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Common toxic cases & Common toxic cases & antidotes:antidotes:

1.1. TherapeuticsTherapeutics…………………………..……

2.2. Household productsHousehold products…………....

3.3. Others:Others: Bites & stings.Bites & stings. Food poisoning.Food poisoning. Gas poisoning.Gas poisoning.

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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TherapeuticsTherapeutics:: Paracetamol Paracetamol ………………………………………….. .. Salicylates Salicylates ……………………………………………….... Theophylline Theophylline ………………………………………….. .. Digitalis Digitalis ………………………………………………………….. Oral hypoglycemic agents Oral hypoglycemic agents ………….... NSAIDs NSAIDs ……………………………………………….... Carbamazepine Carbamazepine ……………………………………..

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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Household productsHousehold products::1.1. OP compounds OP compounds ……………………………………....

2.2. Rat poisons Rat poisons ………………………………………………

3.3. Hydrocarbons Hydrocarbons …………………………………………

4.4. Corrosives Corrosives ……………………………………………………

5.5. Phenol Phenol …………………………………………………………....

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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FOOD POISONINGFOOD POISONING• Type of foodType of food• Onset of SOnset of S• +/- Fever+/- Fever

Simple FPSimple FP• Early • (e in 2 hour)• No fever

Invasive FPInvasive FP• Late Late • > 6-8 hs> 6-8 hs• FeverFever

Special typesSpecial types 11 - -BotulismBotulism

• Late Late • Ms paralysisMs paralysis• AnticholinergicAnticholinergic• Type of foodType of food

2- Ciguatera2- Ciguatera

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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Non toxic Non toxic ingestion at ingestion at

homehome

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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Home treatmentHome treatment

١٣شوال١٤٤٤لل لللل ١٣شوال١٤٤٤لل لللل Dr/ Abdelmonem G. Madboly Dr/ Abdelmonem G. Madboly MD Clinical Toxicology MD Clinical Toxicology

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Home Home decontaminationdecontamination:: Salty water.Salty water.

Mechanical emesis.Mechanical emesis.

Raw eggs in Corrosives.Raw eggs in Corrosives.