Tablets & Toxins as a H&T Reversible Cause of Cardiac Arrest

Pass ACLS Tip of the Day

Review of Tablets & Toxins as an ACLS H &T reversible causes of cardiac arrest with some specific, commonly encountered examples.

As an ACLS provider you do not need to be familiar with all of the different signs of various types of poisoning. You should be able to obtain a history and know to order toxicology.

The majority of toxins don’t have a specific antidote. There are a few toxins for which we have emergency interventions and ACLS providers should be familiar with.

Reviewing the patient's medical history for indicators that may lead us to suspect a tablet/toxin cause of cardiac arrest.

Administration of Narcan for suspected narcotics overdose following the Opioid Associated Emergency algorithm.

Other common ACLS Tablet Toxin scenarios with possible treatments.

Medications commonly used to treat specific toxins that are regularly stocked on crash carts or carried in EMS med bags.

ACLS providers that suspect a specific toxin should consult with their Pharmacy or call Poison Control for treatment directions.

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Poison Myths and Misconceptions on The Pharmacists Voice podcast: https://www.thepharmacistsvoice.com/podcast/poison-myths-and-misconceptions-discussion-part-1-of-5-with-angel-bivens-rph-and-wendy-stephan-phd/

Updated guidance for resuscitation of patients with cardiac arrest, respiratory arrest, and refractory shock due to poisoning: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001161