Category: Toxicology

The Burning Within: A Fight for Life After Acid Ingestion 1) Diagnosis 2) History of Present Illness (HPI) 18-year-old female was brought to the ER after intentional acid ingestion (unknown quantity). She was unconscious, unresponsive, with rapid breathing, weak pulse, and cold extremities. There was no history of trauma, fever, or seizure before ingestion. No…

Paraquat Poisoning in ICU 1) History 2) Vitals on Admission 3) Initial Investigations 4) ICU Admission & Day-by-Day Course 5) Summary Table Day Events Key Treatment 1 Oral burns, AKI early Activated charcoal, Hemoperfusion, NAC, Steroids, Cyclophosphamide 2 Oliguria, AKI worsens CRRT, Noradrenaline, Meropenem 3 ARDS develops Intubation, Lung-protective ventilation, Antioxidants 4 Shock, MODS Dual…

Poison in the Fields: The Glyphosate Gamble Case from the ICU Desk – CriticalICU Case Summary A 38-year-old male, known case of Diabetes Mellitus and Ischemic Heart Disease, presented to the emergency department after ingesting ~80 g of ammonium salt of glyphosate (71%), a common herbicide.He arrived fully conscious, oriented, afebrile, but with persistent vomiting.…