hey all!
Like a blue moon or eclipse I appear . Tell a tale and disappear .
Today’s discussion is about the little dilemma book VS practice.
So the twist of the tale was OHEM says no gastric lavage for Benzodiazepines as it’s not fatal except for elderly and COPD cases . Only supportive management. Since pCM was 5g n she was elderly . ( mixed poisoning) It was not a blunder.
Like a blue moon or eclipse I appear . Tell a tale and disappear .
Today’s discussion is about the little dilemma book VS practice.
Around 60 year old lady presented to ER in a drowsy state . Alleged h/o consumption of 10 tabs of 0.5 Alprazolam and 10 tabs of 500mg PCM 1.5hr back. No Vomiting / seizure / frothing/ sweating/ palpitation/ or any incontinence . KCO DM HTN CAD Depression
Hemodynamically stable
Patient drowsy yet aggressive
pupils 2mm RL+
Power 5/5
Lungs clear
Abdomen soft B.S.+
MLC was registered
Treatment wise
Pantoprazole
Ondasetron
And Gastric Lavage was done
They had affordability issues , they took the patient away.
So the twist of the tale was OHEM says no gastric lavage for Benzodiazepines as it’s not fatal except for elderly and COPD cases . Only supportive management. Since pCM was 5g n she was elderly . ( mixed poisoning) It was not a blunder.
But the consultants do gastric lavage for benzodiazepines. What to do ? As ERP you follow OHEM which says no doing it dude! But consultants say, kar bhai kar !
To see alertness of the lady I ask
kaiku khaaye ?
she says marne ke waaste khaae aur kaiku khaate?
You feel like saying , Aao kabhi Haveli pe , Ill give you better ideas.😒
So far so much bye!
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