Neil Long

Dr Neil Long BMBS FACEM FRCEM FRCPC. Emergency Physician at Burnaby Hospital in Vancouver. Loves the misery of alpine climbing and working in austere environments. Supporter of FOAMed, toxicology, tropical medicine, sim and ultrasound
Cyproheptadine is a histamine and serotonin antagonist with anticholinergic properties. It has been advocated for control of symptoms in mild-to-moderate serotonin syndrome.
Calcium – useful antidote for calcium channel blockers, hydrofluoric acid exposure to skin or systemic fluorosis, ethylene glycol (hypocalcaemia), hyperkalaemia and iatrogenic hypermagnesaemia.
Atropine is a competitive muscarinic antagonist, used to treat drug-induced bradycardia and poisoning by acetylcholinesterase inhibitors Organophosphate poisoning: Adult Dose = 1.2mg with further dosing every 2-3 mins, doubling the dose each time until there is drying of secretions. Paediatric…
Digoxin Immune Fab
Used for both the acute or chronic overdose. Typically this is from the pharmaceutical agent digoxin. Other cardiac glycosides such as Oleander can be treated with digoxin immune fab.