Clinical Toxicology / Edition 1

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Clinical Toxicology provides all the guidance needed to assess, diagnose, and manage poisoned and overdosed patients. Clinically-oriented and practical, this comprehensive, yet concise, resource is organized to give busy clinicians quick access to vital information.

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Editorial Reviews

Doody's Review Service
Reviewer: B. Zane Horowitz, MD (Oregon Health and Science University)
Description: This is the fourth full-size textbook entry in the field of clinical toxicology. Although it is organized in a similar fashion to the other texts on the market, it is unique in its tight editing and formatted style, making it a good quick reference source.
Purpose: The goal is to provide students, residents, and practitioners with an authoritative, affordable textbook of medical toxciology, one whose format allows easy access to clinical information. The editors have succeeded in keeping their authors on track with the tight format, thus allowing the user the ability to quickly look up key information needed for assesment and treatment of toxicology. Some detailed pathophysiology has been stripped out in order to keep this text to task, but overall this is a very usable book for the non-toxicologist.
Audience: The text is aimed at medical students or residents doing a rotation in toxicology. All chapters are written by well recognized and published authorities in the field. The editors are to be commended for keeping their many authors reigned in to a specific format, as each chapter is similarly organized. I thought the real test of this text would be to replace the bedside "bible" kept by the on-call fellow or toxicologist with a copy of this book to see if answering those difficult middle of the night calls was affected. I used the text for several nights this way. Although I was already familiar with most of the subject matter, I tried to put myself in the place of a fellow or resident in training to see if what I had just read would be comprehensive enough to provide information to the caller in search of consulation. Much like the commercial where the coffee in the fine restaurant is secretly replaced with the store brand, this new text performed as well as the more traditional text in toxicology.
Features: "This book covers all aspects of toxicology, much in the same order as the traditional texts. The first sections are devoted to general mangement principles and organ system approaches to poisoning. Uniquely, the central nervous system discussion is broken out in the three chapters on presentations of CNS depression, agitation, and seizures. The remainder of the text covers each of the many toxins encountered in clinical practice in depth. There are few photos of the usual toxic fauna and flora, but this is not the intent of this book. There are no novel products or chapters in this book that are not as well covered in other textbooks. However, almost every chapter does have a succinct treatment summary table for those needing only a quick reference. "
Assessment: "If you teach toxicology and require a textbook for students or residents, this would be one to get. It also would serve well as a reference for a busy emergency department. In fact, it would probably need to be nailed to the countertop so it doesn't disappear into the grasp of the last user, who will undoubtedly take a strong liking to it. However, for those already in practice of toxicology, with one or more of the other textbooks already in your possession, there is relatively little new in this effort. I would reccomend most poison centers have a copy, especially for the poison information specialists on the phones who may need to look up information quickly.The editors are to be commended for producing a text meeting their stated objective of producing a reference for the practitioner. "

3 Stars from Doody
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Product Details

  • ISBN-13: 9780721654850
  • Publisher: Elsevier Health Sciences
  • Publication date: 9/29/2000
  • Edition number: 1
  • Pages: 1138
  • Product dimensions: 8.60 (w) x 11.20 (h) x 2.00 (d)

Table of Contents

I. General Management Principles II
1. InitiaL Assessment and Stabilization of the Poisoned Patient
2. Airway Management in the Poisoned Patient
3. Advanced Life Support: Whats Different in Poisoned Patient
4. Focused Physical Examination/Toxidromes
5. Gastrointestinal Decontamination: Indications/Controversies
6. Enhanced Elimination
7. Drug Testing in Emergency Toxicology
8. Radiology
9. Pharmacokinetics: Just What You Need to Know
10. Fluids and Electrolytes
11. Acid.Base and Osmols
12. Special Considerations in the Pregnant Patient
13. Poison Centers
14. Managing Patients with Hazardous Chemical Contamination
15. Drug Testing in the Workplace

II. Presenting Complaint Approach to the Poisoned Patient With...
16. CNS Depression
17. CNS Agitation
18. Seizures
19. Peripheral Neuropathy
20. Cardiovascular Instability
21. Hepalic Failure
22. Approach to Patient With Renal Failure
23. Hematological Abnormalities
24. Metahemoglobinemia
25. Pulmonary Abnormalities
26. Hypersensitivity Reactions
27. Disorders of Thermoregulation Hypothermia & Hyperthermia
28. Ocular Toxicology

III Toxins in Depth Pharmaceuticals
29. Acetaminophen
30. Salicylate Toxicity
31. Non Steroidal Anti Inflammatory Drugs (NSAIDS)
32. Colchicine
33. Muscle Relaxants
34. Vitamins
35. Iron
36. Caffeine
37. Herbals and Other Dietary Supplements
38. Laxatives
39. Caffeine and Non Prescription Sympathomimetics
40. Camphor and Mothballs
41. Essential Oils
42. Antidysrhythmics
43. B.Adrenergic Receptor Antagonist Toxicity
44. Calcium Channel Blockers
45. Digitalis Glycosides
46. Clonidine and Other Centrally Acting Antihypertensives
47. Antihypertensives
48. Nitroprusside Toxicity
49. Theophylline
50. Selective Beta Adrenergic Agonists
51. Hypoglycetnics Agents
52. Insulin
53. Antibiotics
54. Isonaids and Other Antituberculous Drugs
55. Anticancer and Other Cytotoxic Drugs
56. Ergot Alkaloids
57. Heparm
58. Anticholinergics and Antihistamines (Hi Blockers)
59. Carbamazepine
60. Phenytoin
61. Vaiproate and Slected Newer Anticonvulsants
62. Anti virals
63. Chloroquine and Other Antiprotizoals
64. Cyclic Antidepressants
65. Serotonin Reuptake Inhibitors Antidepressants
66. Lithium
67. Neuroleptics
68. Monoamine Oxidase Inhibitors
69. Sedative.Hypnotics
70. Barbiturates
71. Benzodiazipmes
72. Withdrawal Syndromes
73. Disulfiram
74. Steroids
75. Thyroid Hormones
76. EthanoL
77. Cocaine
78. Amphetamines
79. Opioids
80. Psychoactive Drugs of Abuse
81. Inhalants of Abuse
82. Carbon Monoxide
83. Smoke Inhalantion
84. Inhalation: Gases with Immediate Toxicity
85. Inhalation: Gases with Delayed Toxicity
86. Lacrimating Agents: Tear Gases and Pepper Spray
87. Metal Fume Fever
88. Cyanide
89. Hydrogen Sulfide
90. Arsenic
91. Lead
92. Mercury
93. Thalium and Other Metals/Metalloids
94. Antiseptics, Disinfectants & Sterilizing Agents
95. Ethylene Glycol and Methynol
96. Isopropyl Alcohol
97. Glycol Ethers and Diethylene Glycol
98. Radiation Poisoning (Includes Radioactive Isotopes)
99. Hydrocarbons: Aliphatic
100. Hydrocarbons: Halogynated
101. Hydrocarbons: Aromatic
102. Pine Oil and Turpentine
103. Polychiorinated Biphenyls and Related Substances
104. Organophosphates and Carbamates
105. Insecticides: Pyrethrins. Pyrethrotds. Organochiorines
106. Ensectidices
107. Herbicides and Fungicides
108. Metaldehyde
109. Paraquat and Diquat
110. Anticoagulant Rodenticides
111. Other Rodenticides
112. Rattlesnakes and Other Crotalids
113. Snakes: Coral Snakes
114. Brown Recluse and Other Necrotizing Spiders
115. Black Widow Spider Envenomation
116. Scorpion Envenomation
117. Hymenoptera
118. Mushrooms
119. Plants Acting on the Central Nervous System
120. Plants: CV Toxins
121. Plants: Gastrointestinal Toxicity
122. Botulism
123. Food Poisoning
124. Scombroid, Ciguatera and Other Seafood Intoxications
125. Aquatic Envenomations
126. Nicotine Poisoning
127. Alkali Ingestions
128. Acid Ingestions
129. Hydrofluoric Acid
130. Button Batteries
131. Household Cleaning Products

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