Poisoned Patient and Overdose

Inclusion Criteria: Patients with an acute overdose or intoxication. Medics must report all patients with suspected suicide attempt or ideation to BioTel before leaving the scene. Treat patients with altered level of consciousness using the Altered Level of Consciousness guidelines.

Special Note: EMS personnel may contact Poison Control directly for advice on patient management. (POISON CONTROL: 1-800-222-1222.) Follow the advice offered by the Poison Control Center as if it came directly from BioTel.

          Basic Level

1. Assess and support ABCs.
   
   
2. Place the patient in position of comfort. Place supine if hypotensive and treat according to Shock guidelines.
   
   
3. If the patient requires restraint, follow the Restraint of Patient Policy.
   
   
   
4. Administer oxygen, as needed to maintain a SpO2 of at least 96%.
   
5. Begin transport as soon as possible. If carbon monoxide exposure suspected, refer to Carbon Monoxide Exposure guideline.
   
   
   Advanced Level
   
   
6. Apply ECG and EtCO2 monitors if respiratory distress is present or develops.
   
   
7. Consider establishing IV access at a TKO rate or use a saline lock. Administer 250 ml boluses as needed to maintain adequate perfusion. Do not exceed 1 liter of IV fluids unless authorized by BioTel. If needed, refer to Shock guidelines.
   
   
8. For additional patient care considerations not covered under standing orders, consult BioTel.

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