Toxidromes (opioid / unknown overdose)

HIGH-YIELD Appears 7×

Teaching point

Pinpoint pupils + reduced consciousness/RR -> opioid toxidrome -> naloxone. Any deliberate/unknown overdose -> ALWAYS check paracetamol level (treatable, often clinically silent) +/- VBG, glucose, ECG. Organophosphate -> atropine; benzodiazepine -> (rarely) flumazenil.

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