Moderator EMEDPA Posted October 7, 2017 Moderator Share Posted October 7, 2017 I will start with a few. Others please contribute: (TrueAnomaly, please chime in here) poison, antidote/reversal agent (looking for single agent, not cocktails as in for hyper-K) opiates/clonidine/dextromethorphan, narcan beta blocker or calcium channel blocker, glucagon cyanide, amyl nitrate benzos, romazicon digoxin, digibind pradaxa, pradaxabind neuroleptics, dantrolene phenothiazines, benadryl organophosphates, atropine and/or 2-pam chloride 2 Quote Link to comment Share on other sites More sharing options...
fishbum Posted October 7, 2017 Share Posted October 7, 2017 Student section submits the following... warfarin --> vitamin K +/- PCC +/- FFP anticholinergics --> physostigmine APAP --> NAC ASA --> NaHCO3 1 Quote Link to comment Share on other sites More sharing options...
medic25 Posted October 8, 2017 Share Posted October 8, 2017 For cyanide I would swap out the amyl nitrate and use hydroxocobalamin. 3 Quote Link to comment Share on other sites More sharing options...
SERENITY NOW Posted October 8, 2017 Share Posted October 8, 2017 ethylene glycol or methanol toxicity --> beer! (ethanol), fomepizaole benzocaine / methemoglobinemia --> methylene blue lidocaine toxicity --> IV lipid emulsion therapy iron toxicity --> deferoxamine 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted October 8, 2017 Author Moderator Share Posted October 8, 2017 excellent, keep em coming! Quote Link to comment Share on other sites More sharing options...
PeteK777 Posted October 9, 2017 Share Posted October 9, 2017 add in high dose insulin for beta blocker OD Quote Link to comment Share on other sites More sharing options...
ERCH04 Posted October 10, 2017 Share Posted October 10, 2017 Methotrexate overdose > Leucovorin Lead poisoning > Succimer Acetaminophen > NAC Quote Link to comment Share on other sites More sharing options...
narcan Posted November 27, 2017 Share Posted November 27, 2017 ACEP has a great (and free) app with information on both common toxins, antidotes and toxidromes. Worth having on any EM provider's phone (iOS/android). https://www.acep.org/toxicologysection/#sm.000qlxbzq15levm11f31p8ewmhzkt Quote Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted November 27, 2017 Share Posted November 27, 2017 I’d like to throw in a side topic in this thread considering the state of our current world. Understand differences between alpha, beta, and gamma radiation exposures and how to provide exposure instructions for each. Each ED needs to have a provider who is familiar with this topic. Feds out of Oak Ridge have provided training in years past for such emergencies. Along the same line as BDLS, CDLS, and ADLS. Quote Link to comment Share on other sites More sharing options...
EDGuy Posted December 10, 2017 Share Posted December 10, 2017 How about Sulfonylurea overdose: Octreotide. Often keeps you from chasing your tail with D50. Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted January 17, 2018 Share Posted January 17, 2018 TCA's: sodium bicarb (if it's not on back-order) Benzo's: I prefer time & airway management PRN to romazicon. If you give romazicon and the patient seizes, you're hurting for options. Quote Link to comment Share on other sites More sharing options...
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