Emergency Medicine Renal Toxicology Moderate — standard toxicology screening tool
Osmol Gap
Calculates the difference between measured and calculated serum osmolality to detect unmeasured osmoles (e.g. toxic alcohols, mannitol)
References
- Purssell RA, et al. The use of the osmole gap in diagnosing toxic ingestion. J Toxicol Clin Toxicol. 2004;42(3):261–272.
- Kraut JA, Xing SX. Approach to the evaluation of a patient with an increased serum osmolal gap and high-anion-gap metabolic acidosis. Am J Kidney Dis. 2011;58(3):480–484.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Sodium Bicarbonate · Alkali Therapy (Metabolic Acidosis / CKD-Related Acidosis)
- Trimetazidine · Metabolic Anti-Anginal
- Liquid paraffin with white soft paraffin and wool alcohols · Emollient
- L-Carnitine · Antidote / Metabolic Agent
- Macrogol (Polyethylene Glycol) · Osmotic Laxative
- Macrogol (Polyethylene Glycol) · Osmotic Laxative
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.