This document discusses cardiac emergencies, poisons and antidotes, and emergency procedures. It covers CODE Blue emergencies to communicate life-threatening situations where a patient's heart or breathing has stopped. It lists agents for cardiac emergencies like amiodarone, digoxin, and epinephrine. Common poisoning agents include iron sulfate, TCAs, and opiates. Supportive care for poisonings includes gastric lavage, activated charcoal, and selected antidotes tailored to the poison ingested.

1. Emergencies
Cardiac Support
Poisons & Antidotes

2. Cardiac Anatomy

3. CODE Blue Emergencies
• System to communicated a life threatening
situation
• Patient’s heart and/or breathing has
stopped
• Etiology
– Sudden death, sudden arrhythmia, myocardial
failure

4. Emergency Procedures
• Goal to stabilize patient
• Basic Life Support
– To prevent circulatory & respiratory arrest
• Advanced Cardiac Life Support
– Ventilation, give IV fluids, administer drugs,
provide cardiac monitoring, defibrillation,
arrhythmic control, postresuscitation care

5. Agents for Cardiac Emergencies
• Cardiac Stimulants
– Amiodarone
– Digoxin
– Diltiazem
– Dobutamine
– Epinephrine
– Lidocaine
– Procainamide
– Verapamil
• Blue Alert Cart
• Stocked with drugs
• Expiration dates

6. POISONINGS

7. Poisonings
• Children account for
2/3rds of accidental
poisonings
• Involves under 6 yrs
old and household
chemicals
• Once taken:
– Eliminate it from
patient’s GIT
– Diminish the effects of
the dose absorbed

8. Common Poisoning Agents
• FeSo4
• TCA’s
• Calcium Channel
Blockers
• Opiates
• ASA
• Etoh

10. Supportive Care
• Gastric Lavage
• Step 1
– Specific antidote
• Step 2
– Forced diuresis
• Step 3
– Dialysis and exchange
transfusion
• Syrup of Ipecac
– Special issues
• Apomorphine
• Activated Charcoal

11. Selected Antidotes
• Atropine
– Cholinergics
• Cyanide antidote kit
• Mucomyst
– APAP
• Methylene blue
– Nitrates
• Narcan (naloxone)
– Narcotics
• Vitamin K
– Warfarin
• EDTA
– Lead
• BAL
– Heavy metals
• Deferoxamine
– Iron
• Cuprimine (penicillamine)
– Copper, zinc, mercury, lead

12. Anti-venoms Support Drugs
• Benztropine
• Diphenhydramine
• Lidocaine
• Phenytoin
• Physostigmine
• Propranolol
• Where have you seen
these before? For what
conditions?

13. Summary Slide
• CODE Blue Emergencies
• Agents for Cardiac Emergencies
• Common Poisoning Agents
• Supportive Care
• Selected Antidotes