Same presentation, opposite treatment. A pinpoint, sedated patient and a dilated, agitated one need very different management — and toxidromes are the pattern-recognition shortcut that gets you there fast. This two-card set maps the excitatory and depressant toxidromes to the vital signs, pupils and skin signs you can actually see, with pre-hospital management for each.What's on the cardsExcitatory toxidromes — anticholinergic, sympathomimetic, hallucinogenic, serotonergic and salicylateDepressant toxidromes — cholinergic, opioid, sedative-hypnotic, β-blocker/CCB and carbon monoxideVital-sign fingerprint for each — HR, BP, RR, temperature, pupils and skinKey features and mental-status changes to expectPre-hospital management for every toxidrome, with a clear symbols keyDetailsTwo laminated pocket cards, standard pocket size (86 × 54 mm). Wipe-clean and hard-wearing. Aligned to UK pre-hospital and JRCALC toxicology guidance. Sold as a set.Who it's forStudent paramedics, paramedics and pre-hospital clinicians assessing the poisoned or overdosed patient — and anyone revising toxicology for OSCEs.An educational and quick-reference aid — not a medical device, and not a substitute for clinical judgement, toxicology advice or local guidelines. For overdose management always consult TOXBASE / your local toxicology service and follow JRCALC.