Calcium Channel Blocker Intoxication: A Critical Care Transport Perspective
| Autor: | Nathanial Hunt, Edward Adelmann, Paul Mazurek, Kris Nelson, William David Sadler, Benjamin S. Bassin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Resuscitation
medicine.medical_specialty business.industry medicine.drug_class 030208 emergency & critical care medicine Care center Emergency department Calcium channel blocker 030204 cardiovascular system & hematology Emergency Nursing 03 medical and health sciences 0302 clinical medicine Accidental Emergency Medicine medicine Intensive care medicine business Healthcare system |
| Zdroj: | Air Medical Journal. 40:69-72 |
| ISSN: | 1067-991X |
| DOI: | 10.1016/j.amj.2020.11.004 |
| Popis: | Calcium channel blockers (CCBs) have seen an increase in rate of non-therapeutic exposure that is both accidental and intentional in nature. Patients experiencing the toxic effects of a CCB overdose are resource intensive and can quickly outstrip the capabilities of local health systems, necessitating transfer to larger tertiary or quaternary care centers. We present a case of intentional non-dihydropyridine CCB overdose and toxicity in a 20-year-old patient requiring initial stabilization at a referring critical access emergency department with continuation of treatment and support during a 60-minute rotor wing transport from the referring hospital to an academic quaternary care center. Emphasis is placed on the unique challenges in resuscitation and ongoing critical care administration during the transport phase of care. Proper stabilization of patients, planning, and consideration of potential problems associated with transport can help minimize stresses and risk of the transport, improving the outcome of extremely ill patients even under challenging circumstances. |
| Databáze: | OpenAIRE |
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