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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Managing cardiovascular collapse in severe flecainide overdose without recourse to extracorporeal therapy. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. 2016 Mar;12(1):121-9. Emerg Med Australas. 2007 Apr;19(2):155-9. doi: 10.1111/j.1742-6723.2006.00909.x.

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The Broselow-Luten System

Pediatric EM Morsels

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. PAWPER was more accurate than EPLS (European life support formula) as well. Bowen 2016] Moral of the Morsel: Weight Matters! Reduces dosing errors during resus, up to 33.88%. x exp[0.02

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ToxCard: Benzonatate

EMDocs

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). What are the treatment options for a benzonatate overdose? Management: The mainstay of treatment of benzonatate overdose is supportive and symptomatic care. How quickly can morbidity occur with benzonatate?

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

Calcium is also frequently used in the treatment of hyperkalemia, calcium channel blocker overdose, hypermagnesemia, and hypocalcemia and may be more likely to be used when one of these diagnoses is the suspected cause of cardiac arrest. This continues to be supported by new literature. References: 1. Ramazan, K., S., & Basar, C.

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