2015 Trumbull Memorial Hospital Demo

Overdose Overdose

Universal Patient Assessment

Tricyclic Antidepressants  Amitriptyline  Imipramine  Nortriptyline  Doxepin  Amoxapine

Contact Poison Control 1-800-222-1222

Adult Airway Protocol

Beta Blockers  Metoprolol

Adult IV/IO

 Atenolol  Esmolol  Labetalol  Carvedilol

Cardiac Monitor

Naloxone 2mg MAD

or

Naloxone 2-4mg IV/IO/IM

May repeat to max 8mg total as necessary. Consider IV route if respiratory depression secondary to narcotics.

Monitor QTI and QRS width

Tricyclic Ingestion?

Glucagon 2mg IVP Zofran 4mg IVP

Beta blocker overdose?

Sodium Bicarbonate 1mEq/kg IV/IO

Hypotension, seizures, ventricular arrhythmias, or altered mental status?

Appropriate Protocol

53

EMR

EMT

AEMT

Paramedic

Extended