Abstract

The National Poisons Information Service provides expert advice through Toxbase http://www.toxbase.org or +44 844 892 0111. Consult them in all cases of severe poisoning. Resuscitate to conventional guidelines but treat arrhythmias with magnesium and bicarbonate. Anti-arrhythmics are used only after expert advice. Death results from hyperthermia, rhabdomyolysis, or arrhythmias; vigilance for these is crucial. Serial ECGs may predict malignant arrhythmias. Blood tests should always include urea, electrolytes, bone profile, liver function, paracetamol level, glucose, creatine kinase, full blood count, and clotting profile. Slang terms should not be used to identify drugs; this language evolves rapidly and regional variations exist.

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