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While not specifically reviewed in this post, check out the methemoglobinemia tox card for more information about one of the other known events that can occur with local anesthetic administration. 1] CV manifestations include: Bradycardia, tachycardia, ventricular dysrhythmias, cardiac arrest. [1-5]
For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in AdvancedCardiacLifeSupport (ACLS) and Pediatric AdvancedLifeSupport (PALS).
Advancedcardiaclifesupport (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). The Accu-Chek was 214, and there was no response to empiric Narcan administration.
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