Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. And she does not know that this is an overdose; she thinks it is a patient with chest pain!! He was admitted to the ICU and was unstable, in shock, overnight. Verapamil overdose is complex and VERY dangerous. The initial K was 3.0

Overdose 98

Overdose E-9-1-1 Coronary OR 98

REBEL EM

JULY 17, 2023

The Effect of Ketamine Versus Etomidate for Rapid Sequence Intubation on Maximum SOFA Score: A Randomized Clinical Trial. PMID: Clinical Question: Does a single dose of ketamine or etomidate used for rapid sequence intubation (RSI) of critically adults in the ED impact the SOFA score within 3 days of hospitalization? Range 5 to 9) Etomidate: 7.0

ED 98

ED ICU Emergency Department Overdose 98

Dr. Smith's ECG Blog

MAY 8, 2014

These findings are nearly pathognomonic of, or at least highly suspicious for, tricyclic antidepressant (TCA) overdose. One can read about management of TCA overdose in many places, and I have put some links to lifeinthefastlane below. We in emergency medicine obtain ECGs in overdoses mostly to look for TCA findings.

Overdose 52

Overdose ICU EMS ED 52

EMDocs

APRIL 10, 2024

The majority of local anesthetics have a common structure of a lipophilic aromatic ring, a hydrophilic amine group, and a linking group. [2] 2] This linking group can be either an amide (e.g., lidocaine) or an ester (e.g., 6] Action of local anesthetics is dependent upon the molecule crossing the plasma membrane in a unionized form. [2] mL/kg/min.

E-9-1-1 111

E-9-1-1 Plasma Epinephrine Life Support 111

Handtevy

AUGUST 15, 2022

Sodium bicarbonate is indicated for select patients including preexisting metabolic acidosis, hyperkalemia, or tricyclic antidepressant overdose. 18 ICUs participating in the ICU-RESUScitation Project (NCT02837497). However, many providers are still administering it for cardiac arrests even though we know it makes matters worse.

CPR 52

CPR ICU Overdose Critical Care 52

Emergency Medicine Ireland

APRIL 19, 2021

In terms of clinical presentation it’s clear that it exists as a spectrum from mild to ICU level. This is one of those algorithms (like the CAM-ICU) that refuses to stay in my brain so invariably I end up looking it up. Overall expect to see this in 2 scenarios * the overdose of a single serotonergic agent – th.

Critical Care 52

Critical Care ICU Overdose OR 52

Core EM

JANUARY 25, 2024

Background: An update to our 2015 post on HIET for beta-adrenergic receptor and calcium channel antagonists overdose. Beta-adrenergic receptor antagonists (Beta blockers, BB) and calcium channel antagonists (calcium channel blockers) are common drugs that can produce profound cardiac depression and shock when taken in overdose.

Overdose 246

Overdose ALS Epinephrine Critical Care 246