Fair point. Though the gases were not immediatelypost fit. 1st was about 10
mins, 2nd about 30 mins. Sorry for not making that clear. We procrastinated
in ventilation as she looked better than the numbers. Eventually decided
(roughly 40 mins post fit ending) as gases still poor and still CVS signs
still present.
Simon
----- Original Message -----
From: "Craig Ellis" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, January 02, 2003 4:36 PM
Subject: Re: OD atypical analgesia
> Simon,
> I have just done a small personal series (14) after finding several
> "horrific" gases immediately post seizure and talking to others who had
also
> - and found that if you do a gas immediately (1-15 mintues) post seizure -
> they almost all have pH in the 6's - even those with fairly rapid recovery
> of their GCS and there acid base is usually back to normal by 30-60
minutes
> - without any intervention.
>
> The absence of any major degree of resp compensation may be explained by
> rapid onset and recovery of the acidosis associated with the seizures.
>
> Also occasional Citalopram is associated with seziures in OD - but usually
> late
>
> I probably would have held off on the ventilation for a while - but to be
> honest, we have a clinical toxicologist / EP on staff and I would have
> cheated and rung him - I have to say I have found advice direct from a
> toxicologist who is also a EM specialist leaves your average Poison centre
> advice for dead - I think we are very lucky.
>
> cheers
>
> Craig
>
>
>
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