Orogastric lavage is rarely used but remains an important intervention in specific situations.
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Orogastric Lavage
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A Call to Use and Infuse High Dose Insulin! – Hyperinsulinemia Euglycemia Therapy (HIET) for Beta Blocker and Calcium Channel Blocker Toxicity
A 45-year-old male is brought into your resuscitation bay by EMS. He was found down, with empty prescription bottles for metoprolol, amlodipine and verapamil on his person. His heart rate is in the 30s and his blood pressure is 80s/40s. He is unresponsive but has palpable pulses. You intubate the patient, start IV fluids and give glucagon and calcium for the presumed beta-blocker and calcium-channel blocker overdose.
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Hyperinsulinemia Euglycemia Therapy (HIET) for Beta Blocker and Calcium Channel Blocker Toxicity
Cardiogenic shock from beta blocker/calcium channel blocker overdose can be difficult to treat. HIET is a life-saving treatment modality.
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