Welcome back to the Sydney HEMS debrief. We are up to episode 11!

Today, we are pivoting towards toxicology. Specifically, we discuss some of the more common toxidromes encountered pre-hospitally, how they cause cardiac arrest, and what providers – in particular pre-hospital providers – may do in order to best resuscitate these patients.

In addition to some broader and very applicable learning themes pertinent to any toxidrome, we discuss

• Beta-blockers


• Calcium channel blockers


• Amitriptyline


• Quetiapine


• …and more

Of course we are not doing discussing this alone. We are so luck to be joined today by a clinical toxicologist, Dr Úna.

Dr Úna Nic Ionmhain graduated from Trinity College Dublin, and subsequently trained in Emergency Medicine in Perth. She completed a Pre Hospital and Retrieval Medicine year with CareFlight NSW as well as a poisons fellowship. She is now a staff specialist FACEM at Liverpool Hospital NSW, and a clinical toxicologist with the NSW Poisons Information Centre. She has an academic interest in HIET in toxicology for cardiogenic shock, which was the focus of her masters thesis, and is a passionate educator with a particular interest in cardiotoxicity.

We sure hope you enjoy this episode, and until next time, we hope you have a great week.