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Weapons of Mass Effect/Terror: Content for the Emergency Physician

Increasing political tensions, terrorist groups, and general turmoil faced around the world makes the possibility of a biological, chemical, or other attack on American soil a true reality.  In the event of such an attack, one must depend on the knowledge, preparedness, and action of Emergency Physicians and others to act in a timely manner in order to care for the injured.

em@3am

EM@3AM – Beta-Blocker Toxicity

A two-year-old male presents to the emergency department following the ingestion of his grandmother's propranolol. Upon presentation, the young boy is lethargic. EKG demonstrates sinus bradycardia (heart rate: 39 beats per minute) and a first degree AV block. How do you treat this patient's bradycardia? Read this week's review of beta-blocker toxicity for a rapid refresher.