Remove PPE Remove Resuscitation Remove Seizures
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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Use of 20% intravenous lipid emulsion can be efficacious in the resuscitation of life-threatening local anesthetic toxicity, especially from bupivacaine. Flumazenil administration is associated with harm in patients who are at increased risk for seizures or dysrhythmias. COR No Benefit, LOE C-EO. COR Harm, LOE B-R. COR 1, LOE C-LD.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

Decontamination and Appropriate Personal Protective Equipment (PPE) This prevents ongoing exposure to the patient and ED staff. Dispose of clothing appropriately and wear PPE to prevent personal exposure. Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. 7 May lead to respiratory failure.