This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
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.
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
Severe acute traumatic coagulopathy = PT >1.5 to 3.33; P = 0.72 NOT STATISTICALLY SIGNIFICANT Also no difference in individual components given Thromboembolic Events: 4F-PCC: 35% Placebo: 24% Absolute Diff: 11%; 95% CI 1 to 21% Relative Risk 1.48; 95% CI 1.04 to 2.10; P = 0.03
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.
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.
Hemodynamics slowly begin to stabilize, and the patient is transferred to the ICU for further post-cardiac arrest care. Poisoning & Drug Overdose. The patient remains hemodynamically unstable, and bolus of 1.5 mL/kg is given followed by a continuous infusion. J Med Toxicol. 2008;4(3):184-191. McGraw Hill; 2022.
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.
The patient was admitted to the ICU for close monitoring and electrolyte repletion and had an uneventful hospital course. A New Seizure in a Healthy 20-something More cases of long QT not measured correctly by computer (these are all fascinating ECGs/cases): Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation.
He requires low-dose epinephrine to maintain his mean arterial pressure (MAP) in the 60s mmHg and is transported to the cardiothoracic (CT) ICU. In our case, the patient had accidentally overdosed on drugs prior to being found. The patient is extubated and decannulated four days later.
Historically, iron toxicity and exposure affected children in unintentional overdose disproportionately. 1 The incidence of iron overdose and iron ingestion related deaths has significantly decreased over time, likely attributable to federal regulation. She was initiated on deferoxamine and admitted to the ICU.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
246 
Let's personalize your content