Intoxicação exógena - os 3 passos fundamentais na conduta (bônus: coma alcoólico)

#Poisoning in the Emergency Room: The 3 Fundamental Steps in Treatment Bonus: How to treat a patient with alcohol poisoning When a poisoned patient arrives at the emergency room, many doctors make a mistake in the first few seconds of treatment: They start by looking for the antidote. In most poisonings, this is not the first step. Before thinking about antidotes, it is essential to stabilize the patient, identify the route of exposure, and perform the initial measures that truly impact treatment. In this video, I present a practical protocol for treating patients with exogenous poisoning, organized into three fundamental steps, based on the logic of emergency care. You will learn: ✅ 1st Step – Clinical Support Treatment begins with the ABCs of emergency care. Airway Assessment When to Indicate Definitive Airway Protection Ventilatory Support Oxygen Therapy Hemodynamic Assessment When to Perform Crystalloid Expansion When to Indicate Vasoactive Drugs Monitoring of the Critically Ill Patient ✅ 2nd Step – Decontamination Not all intoxications require the same approach. You will learn how to conduct decontamination according to the route of exposure: • Oral Route When gastric lavage is indicated Situations in which it should not be performed • Skin Contact Complete removal of contaminated clothing Adequate skin washing • Inhalation Route Removal of the exposure source Oxygen administration Respiratory support measures ✅ 3rd Step – Antidotes Only after stabilizing the patient should we consider antidotes, when truly indicated. --- 🎁 Bonus: Managing Patients with Alcohol-Induced Coma In addition to exogenous intoxications, I dedicate a significant portion of this video to managing severely intoxicated patients. You will see a practical protocol for managing these patients from their arrival at the emergency room. We cover: ✅ Initial assessment ✅ Hypoglycemia: when to administer glucose (remember that **glucose is not an antidote**, but rather the treatment for hypoglycemia when present) ✅ Indications for thiamine ✅ Monitoring and care during observation The goal of this lesson is to provide a simple, organized, and evidence-based protocol so that you can confidently manage intoxicated patients, avoiding frequent errors and prioritizing what truly saves lives in the first few minutes of the emergency. 👨‍⚕️ *This content is intended exclusively for physicians and medical students.* --- 👨‍⚕️ About the Doctor in Practice Channel Doctor in Practice is a platform aimed at physicians and medical students seeking evidence-based updates, clinical reasoning, and practical application for real-life patient care. 🎓 More than *5,800 active students* throughout Brazil, Latin America, Africa, Portugal, Spain, and Russia. --- 📌 *If this content was useful to you:* 👍 Leave a like 💬 Comment: *What type of poisoning generates the most questions in your clinical practice?* 📤 Share with fellow physicians and students. 🔔 Subscribe to the channel so you don't miss future content. --- #Intoxication #ExogenousIntoxication #MedicalEmergency #EmergencyMedicine #AlcoholicComa #IntoxicatedPatient #Antidotes #GastricLavation #Decontamination #ClinicalSupport #Airway #Shock #EmergencyRoom #UrgentCare #MedicalDuty #InternalMedicine #EvidenceBasedMedicine #ClinicalReasoning #Doctors #MedicalStudents #MedicalEducation #MedicalUpdate #PhysicianInPractice #BeAPhysicianInPractice ```