TY - CHAP M1 - Book, Section TI - Principles of Managing the Acutely Poisoned or Overdosed Patient A1 - Nelson, Lewis S. A1 - Howland, Mary Ann A1 - Lewin, Neal A. A1 - Smith, Silas W. A1 - Goldfrank, Lewis R. A1 - Hoffman, Robert S. A2 - Nelson, Lewis S. A2 - Howland, Mary Ann A2 - Lewin, Neal A. A2 - Smith, Silas W. A2 - Goldfrank, Lewis R. A2 - Hoffman, Robert S. PY - 2019 T2 - Goldfrank's Toxicologic Emergencies, 11e AB - For more than 5 decades, medical toxicologists and poison information specialists have used a clinical approach to poisoned or overdosed patients that emphasizes treating the patient rather than treating the poison.3 Too often in the past, patients were initially ignored while attention was focused on the ingredients listed on the containers of the product(s) to which they presumably were exposed. Although astute clinicians must always be prepared to administer a specific antidote immediately in instances when nothing else will save a patient, such as with cyanide poisoning,7 all poisoned or overdosed patients benefit from an organized, rapid clinical management plan (Fig. 4–1). However, clinicians should use caution when applying management advice from compendia and other non–toxicologic-specific sources because they may contain serious discrepancies with current standard expert advice.2,10 Consultation with a poison control center or a medical or clinical toxicologist should be obtained if any questions or concerns arise about the management of a potentially poisoned or exposed patient. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1163006931 ER -