SlideShare uma empresa Scribd logo
1 de 56
Let's Talk the Tox ,[object Object],[object Object],[object Object]
Welcome! ,[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Goal ,[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Topics ,[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Toxic Facts ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Toxic Facts ,[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Case One ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Initial Assessment ,[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Physical Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Immediate interventions? ,[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Case One ,[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Acetaminophen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Phases of Toxicity ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Other labs to order ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Treatment ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Acetaminophen Antidote ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
NAC:  N -Acetylcysteine ,[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Acetaminophen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Case Two ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Case Two ,[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Initial Assessment ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Initial Physical Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Twenty minutes after arrival ,[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Case Two ,[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Antidepressants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Interventions? ,[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Interventions, continued ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Labs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Nervous System Toxidrome ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
TCA Toxidrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
TCA Pearls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
TCA Epidemiology ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
TCA Epidemiology ,[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Case Three ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Initial Assessment ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Initial Assessment ,[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Rapid Intervention ,[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Physical Findings after Hazmat Decon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Interventions? ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Interventions, continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
What happens in OPP? ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
What happens in OPP? ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Why use these antidotes? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Why use these antidotes? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Why use these antidotes? ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Epidemiology ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
More Obscure Toxicities Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Supportive Care ,[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
The Toxic Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Toxic Wrap-up ,[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Further Actions  ,[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Special thanks to the following toxicology experts: ,[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Literature references: ,[object Object],[object Object],[object Object],[object Object],[object Object],Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Questions? Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
Thank you If you would like to use this presentation for your EMS group or if you have any questions, please call 303-765-6367 Porter, Littleton and Parker Adventist Hospitals Emergency Medical Services www.emsteam.org

Mais conteúdo relacionado

Mais procurados

Initial assssment ppt
Initial assssment pptInitial assssment ppt
Initial assssment pptElon Yunus
 
Airway and ventilatory management in trauma
Airway and ventilatory management in traumaAirway and ventilatory management in trauma
Airway and ventilatory management in traumaMonsicha Nonthacoupt
 
Advanced cardiac life support 2010
Advanced cardiac life support 2010Advanced cardiac life support 2010
Advanced cardiac life support 2010Swornim Gyawali
 
Hemodynamics Basic Concepts
Hemodynamics Basic ConceptsHemodynamics Basic Concepts
Hemodynamics Basic Conceptsvclavir
 
Pec11 chap 31 head trauma
Pec11 chap 31 head traumaPec11 chap 31 head trauma
Pec11 chap 31 head traumaMichael Bedford
 
Hemodynamic Pressure Monitoring
Hemodynamic Pressure MonitoringHemodynamic Pressure Monitoring
Hemodynamic Pressure MonitoringKhalid
 
Major Trauma management in emergency room Tribhuvan university teaching hospi...
Major Trauma management in emergency room Tribhuvan university teaching hospi...Major Trauma management in emergency room Tribhuvan university teaching hospi...
Major Trauma management in emergency room Tribhuvan university teaching hospi...sameerdm
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoringIrvan Setiawan
 
Chapter2 trauma assessment and management
Chapter2 trauma assessment and managementChapter2 trauma assessment and management
Chapter2 trauma assessment and managementdjorgenmorris
 
Advanced Trauma Life Support : Part 1 - Basic Life Support
Advanced Trauma Life Support : Part 1 - Basic Life SupportAdvanced Trauma Life Support : Part 1 - Basic Life Support
Advanced Trauma Life Support : Part 1 - Basic Life SupportMayank Jain
 
First Aid CPR SNAKE BITE
First Aid  CPR SNAKE BITEFirst Aid  CPR SNAKE BITE
First Aid CPR SNAKE BITEAnil Bhadoria
 
als cardiac arrest and rosc
 als cardiac arrest and rosc als cardiac arrest and rosc
als cardiac arrest and roscMEEQAT HOSPITAL
 
Initial approach to trauma
Initial approach to traumaInitial approach to trauma
Initial approach to traumaShankar Hippargi
 
Trauma mangement
Trauma mangementTrauma mangement
Trauma mangementNidhi
 
Hemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep GampaHemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep GampaSiddharth Pandey
 
Initial Assessment And Management
Initial Assessment And ManagementInitial Assessment And Management
Initial Assessment And Managementkk 555888
 

Mais procurados (20)

Initial assssment ppt
Initial assssment pptInitial assssment ppt
Initial assssment ppt
 
Airway and ventilatory management in trauma
Airway and ventilatory management in traumaAirway and ventilatory management in trauma
Airway and ventilatory management in trauma
 
Advanced cardiac life support 2010
Advanced cardiac life support 2010Advanced cardiac life support 2010
Advanced cardiac life support 2010
 
Approach to trauma- ATLS update by Dr.Damodhar.M.V
Approach to trauma- ATLS update by Dr.Damodhar.M.VApproach to trauma- ATLS update by Dr.Damodhar.M.V
Approach to trauma- ATLS update by Dr.Damodhar.M.V
 
Hemodynamics Basic Concepts
Hemodynamics Basic ConceptsHemodynamics Basic Concepts
Hemodynamics Basic Concepts
 
Pec11 chap 31 head trauma
Pec11 chap 31 head traumaPec11 chap 31 head trauma
Pec11 chap 31 head trauma
 
Basic ECG &rhythm interpretation
Basic ECG &rhythm interpretationBasic ECG &rhythm interpretation
Basic ECG &rhythm interpretation
 
Hemodynamic Pressure Monitoring
Hemodynamic Pressure MonitoringHemodynamic Pressure Monitoring
Hemodynamic Pressure Monitoring
 
Major Trauma management in emergency room Tribhuvan university teaching hospi...
Major Trauma management in emergency room Tribhuvan university teaching hospi...Major Trauma management in emergency room Tribhuvan university teaching hospi...
Major Trauma management in emergency room Tribhuvan university teaching hospi...
 
Hemodynamic monitoring
Hemodynamic monitoringHemodynamic monitoring
Hemodynamic monitoring
 
Prinary survey ATLS
Prinary survey ATLSPrinary survey ATLS
Prinary survey ATLS
 
Chapter2 trauma assessment and management
Chapter2 trauma assessment and managementChapter2 trauma assessment and management
Chapter2 trauma assessment and management
 
Advanced Trauma Life Support : Part 1 - Basic Life Support
Advanced Trauma Life Support : Part 1 - Basic Life SupportAdvanced Trauma Life Support : Part 1 - Basic Life Support
Advanced Trauma Life Support : Part 1 - Basic Life Support
 
First Aid CPR SNAKE BITE
First Aid  CPR SNAKE BITEFirst Aid  CPR SNAKE BITE
First Aid CPR SNAKE BITE
 
als cardiac arrest and rosc
 als cardiac arrest and rosc als cardiac arrest and rosc
als cardiac arrest and rosc
 
Initial approach to trauma
Initial approach to traumaInitial approach to trauma
Initial approach to trauma
 
Trauma mangement
Trauma mangementTrauma mangement
Trauma mangement
 
Hemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep GampaHemodynamic monitoring- Dr Sandeep Gampa
Hemodynamic monitoring- Dr Sandeep Gampa
 
Triage basics
Triage basicsTriage basics
Triage basics
 
Initial Assessment And Management
Initial Assessment And ManagementInitial Assessment And Management
Initial Assessment And Management
 

Destaque (16)

Ems 250 toxicology 2011
Ems 250 toxicology 2011Ems 250 toxicology 2011
Ems 250 toxicology 2011
 
Its Shocking
Its ShockingIts Shocking
Its Shocking
 
GEMC - Toxicology Basics - for Medical Students
GEMC - Toxicology Basics - for Medical StudentsGEMC - Toxicology Basics - for Medical Students
GEMC - Toxicology Basics - for Medical Students
 
Human Anatomy Course
Human Anatomy CourseHuman Anatomy Course
Human Anatomy Course
 
H2 s
H2 sH2 s
H2 s
 
Things That Make You Go Hmm Part 1ppt
Things That Make You Go Hmm    Part 1pptThings That Make You Go Hmm    Part 1ppt
Things That Make You Go Hmm Part 1ppt
 
Toxidromes poisoning in emergency medicine
Toxidromes poisoning in emergency medicineToxidromes poisoning in emergency medicine
Toxidromes poisoning in emergency medicine
 
Toxicology Emergencies CDEM
Toxicology Emergencies CDEMToxicology Emergencies CDEM
Toxicology Emergencies CDEM
 
2014 AEMT Intro to pharmacology cole
2014 AEMT Intro to pharmacology cole2014 AEMT Intro to pharmacology cole
2014 AEMT Intro to pharmacology cole
 
CPAP and EMS
CPAP and EMSCPAP and EMS
CPAP and EMS
 
Lactate: How Sick Is Your Patient
Lactate: How Sick Is Your PatientLactate: How Sick Is Your Patient
Lactate: How Sick Is Your Patient
 
ORGANOPHOSPHATE POISONING AND MANAGEMENT
ORGANOPHOSPHATE POISONING AND MANAGEMENTORGANOPHOSPHATE POISONING AND MANAGEMENT
ORGANOPHOSPHATE POISONING AND MANAGEMENT
 
Principles of Management of Acute Poisoning
Principles of Management of Acute PoisoningPrinciples of Management of Acute Poisoning
Principles of Management of Acute Poisoning
 
Human anatomy 101
Human anatomy 101Human anatomy 101
Human anatomy 101
 
Introduction to Human Anatomy
Introduction to Human AnatomyIntroduction to Human Anatomy
Introduction to Human Anatomy
 
Human anatomy and physiology
Human anatomy and physiologyHuman anatomy and physiology
Human anatomy and physiology
 

Semelhante a Toxicology For EMS

Case Study On ACS.pptx
Case Study On ACS.pptxCase Study On ACS.pptx
Case Study On ACS.pptxSridharA50
 
ACEP 2014 Pearls
ACEP 2014 PearlsACEP 2014 Pearls
ACEP 2014 Pearlsbcooper876
 
Hypo & hyperthyriodism
Hypo & hyperthyriodismHypo & hyperthyriodism
Hypo & hyperthyriodismraj kumar
 
OSCE cardiology.pdf
OSCE cardiology.pdfOSCE cardiology.pdf
OSCE cardiology.pdfPushpa Latha
 
ICU topics for Final FRCA
ICU topics for Final FRCAICU topics for Final FRCA
ICU topics for Final FRCAAndrew Ferguson
 
Trauma Patient in the 1st 24 hours.pptx
Trauma Patient in the 1st 24 hours.pptxTrauma Patient in the 1st 24 hours.pptx
Trauma Patient in the 1st 24 hours.pptxSayed Dawba
 
Amphetamine related presentations to the ED
Amphetamine related presentations to the EDAmphetamine related presentations to the ED
Amphetamine related presentations to the EDSCGH ED CME
 
Matters heart armc 7 11-2011
Matters heart armc 7 11-2011Matters heart armc 7 11-2011
Matters heart armc 7 11-2011Troy Pennington
 
Matters heart armc 7 11-2011
Matters heart armc 7 11-2011Matters heart armc 7 11-2011
Matters heart armc 7 11-2011Troy Pennington
 
Resuscitaion in ohca
Resuscitaion in ohcaResuscitaion in ohca
Resuscitaion in ohcasand whale
 
Developing an Anesthetic Protocol
Developing an Anesthetic Protocol Developing an Anesthetic Protocol
Developing an Anesthetic Protocol upstatevet
 
AN APPROACH TO NEUROLOGICAL EMERGENCIES IN DOGS
AN APPROACH TO NEUROLOGICAL EMERGENCIES IN DOGSAN APPROACH TO NEUROLOGICAL EMERGENCIES IN DOGS
AN APPROACH TO NEUROLOGICAL EMERGENCIES IN DOGSDr.ABHISHEK KALUNDIA
 
5 parathyroid hormone5
5 parathyroid hormone55 parathyroid hormone5
5 parathyroid hormone5Raveena Ramtel
 
Med viva/revision for Anaes M.Med Part 2
Med viva/revision for Anaes M.Med Part 2 Med viva/revision for Anaes M.Med Part 2
Med viva/revision for Anaes M.Med Part 2 Hon Liang
 
03 Samir Rafla-Sudden Cardiac Death and Resuscitation.ppt
03 Samir Rafla-Sudden Cardiac Death and Resuscitation.ppt03 Samir Rafla-Sudden Cardiac Death and Resuscitation.ppt
03 Samir Rafla-Sudden Cardiac Death and Resuscitation.pptAlexandria University, Egypt
 

Semelhante a Toxicology For EMS (20)

Case Study On ACS.pptx
Case Study On ACS.pptxCase Study On ACS.pptx
Case Study On ACS.pptx
 
ITTABV1
ITTABV1ITTABV1
ITTABV1
 
512 low t3 syndrome
512 low t3 syndrome512 low t3 syndrome
512 low t3 syndrome
 
ACEP 2014 Pearls
ACEP 2014 PearlsACEP 2014 Pearls
ACEP 2014 Pearls
 
Hypo & hyperthyriodism
Hypo & hyperthyriodismHypo & hyperthyriodism
Hypo & hyperthyriodism
 
OSCE cardiology.pdf
OSCE cardiology.pdfOSCE cardiology.pdf
OSCE cardiology.pdf
 
Triage Armelle
Triage ArmelleTriage Armelle
Triage Armelle
 
Drug induced QT prolongation
Drug induced QT prolongationDrug induced QT prolongation
Drug induced QT prolongation
 
ICU topics for Final FRCA
ICU topics for Final FRCAICU topics for Final FRCA
ICU topics for Final FRCA
 
Preeclampsia And Eclampsia: An EMS Case Review
Preeclampsia And Eclampsia: An EMS Case ReviewPreeclampsia And Eclampsia: An EMS Case Review
Preeclampsia And Eclampsia: An EMS Case Review
 
Trauma Patient in the 1st 24 hours.pptx
Trauma Patient in the 1st 24 hours.pptxTrauma Patient in the 1st 24 hours.pptx
Trauma Patient in the 1st 24 hours.pptx
 
Amphetamine related presentations to the ED
Amphetamine related presentations to the EDAmphetamine related presentations to the ED
Amphetamine related presentations to the ED
 
Matters heart armc 7 11-2011
Matters heart armc 7 11-2011Matters heart armc 7 11-2011
Matters heart armc 7 11-2011
 
Matters heart armc 7 11-2011
Matters heart armc 7 11-2011Matters heart armc 7 11-2011
Matters heart armc 7 11-2011
 
Resuscitaion in ohca
Resuscitaion in ohcaResuscitaion in ohca
Resuscitaion in ohca
 
Developing an Anesthetic Protocol
Developing an Anesthetic Protocol Developing an Anesthetic Protocol
Developing an Anesthetic Protocol
 
AN APPROACH TO NEUROLOGICAL EMERGENCIES IN DOGS
AN APPROACH TO NEUROLOGICAL EMERGENCIES IN DOGSAN APPROACH TO NEUROLOGICAL EMERGENCIES IN DOGS
AN APPROACH TO NEUROLOGICAL EMERGENCIES IN DOGS
 
5 parathyroid hormone5
5 parathyroid hormone55 parathyroid hormone5
5 parathyroid hormone5
 
Med viva/revision for Anaes M.Med Part 2
Med viva/revision for Anaes M.Med Part 2 Med viva/revision for Anaes M.Med Part 2
Med viva/revision for Anaes M.Med Part 2
 
03 Samir Rafla-Sudden Cardiac Death and Resuscitation.ppt
03 Samir Rafla-Sudden Cardiac Death and Resuscitation.ppt03 Samir Rafla-Sudden Cardiac Death and Resuscitation.ppt
03 Samir Rafla-Sudden Cardiac Death and Resuscitation.ppt
 

Último

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Genuine Call Girls
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...narwatsonia7
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 

Último (20)

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 

Toxicology For EMS

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48. More Obscure Toxicities Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55. Questions? Porter, Littleton and Parker EMS ~ 303-765-6EMS ~ www.emsteam.org
  • 56. Thank you If you would like to use this presentation for your EMS group or if you have any questions, please call 303-765-6367 Porter, Littleton and Parker Adventist Hospitals Emergency Medical Services www.emsteam.org