This is EM cases and I'm Anton Hellman. Now before we jump into episode 90, slow and low poisonings,

I just want to make sure that you weren't missing out on some EM cases goodies. First, the latest

waiting to be seen blog is on a hot topic, physician scorecards and providing physician feedback by

Dr. Amy Cheng, and the next waiting

to be seen will be on conflicts of interest for publication and foam. We've also got a great

crit cases blog on Airway Nightmares by James Brokenshire. That'll be up soon. And in case you

haven't already, don't miss out on the new free EM cases feature, just the Nuggets.

Now, in the new year, we'll be launching two new video series, rapid reviews, and Pocus, pearls, and pitfalls.

And more on that in the new year.

And now, we're slow and low.

Music We're slow and low. You hear an overhead call Dr. DeResis.

You enter the room, approach the patient, get a one or two second gestalt of how the patient looks, and you glance at the cardiac monitor.

You see the dreaded combo of bradicardia and hypotension, slow and low.

And you're thinking, I really don't have much to work with here.

Now, there aren't too many things that cause bradicardia and hypotension, and we'll get into

the differential soon.

But one of the things we need to think about whenever we see a patient who's going slow and low

with radicardia and hypotension is an overdose.

Beta blockers, calcium channel blockers, and dejoxin are some of the most frequently prescribed cardiovascular drugs.

And inevitably, we're going to be faced with both intentional and

unintentional overdoses of these drugs in the ED. If we can recognize these overdoses early and

manage them appropriately, well, we'll save some lives. So in this podcast, we're going to run

...