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Poisoning Recognition and Antidote Selection

You'll be able to recognize toxidrome patterns on presentation and select appropriate antidote therapy before confirmatory labs return.

What this track covers

This track covers systematic assessment of the poisoned or overdosed patient, from toxidrome pattern recognition through antidote selection and management of evolving clinical status. It addresses common ingestions such as opioids, acetaminophen, anticholinergics, and sedative-hypnotics, as well as higher-acuity scenarios like pediatric ingestions and intentional overdose.

What you will practice

  • Distinguish toxidromes using vital signs and exam findings alone
  • Sequence antidote selection against clinical indications
  • Track evolving labs and clinical status during a simulated overdose
  • Recognize red flags requiring escalation or ICU-level care
  • Approach pediatric and intentional-ingestion cases differently from adult accidental exposures

Simulator scenario

A simulated ED case where a patient presents with altered mental status and evolving vitals, requiring the clinician to identify the toxidrome, order the right studies, and choose a treatment path as new data arrives.

Board question topics

  • Toxidrome pattern recognition
  • Antidote indications and contraindications
  • Pediatric ingestion management
  • Escalation criteria in overdose care

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