A 38 yr old male presents to your ED, 2 hours after ingesting an unknown quantity of amitriptyline (TCA) with a GCS of 13, HR 130, BP96/50. How do you proceed?
This ECG is from a 40 yr old male who presented following a large overdose of an anti-spasmodic agent.
Little Johnny is an inquisitive 15kg 3 year-old boy. His grandad was looking after him for the evening. About an hour ago, the phone rang just as grandad was about to take his evening warfarin tablets. Although he only turned his back for a second, there was enough time for little Johnny to start ploughing into the tablets...
Sodium valproate is a commonly used anti-epileptic drug, that come sin standard and enteric coated forms. Toxicity is characterised by metabolic failure, resulting in multi-organ dysfunction and cerebral edema