Calcium channel blocker poisoning is one of the most formidable intoxications encountered critical care. As for most topics in toxicology, there is no level-I evidence regarding this. This chapter explores treatment options for beta blocker and calcium channel blocker poisoning, with the admitted limitation that it's impossible to know which treatments are optimal and in what combination.
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The IBCC chapter is located 👉 here.
- The podcast & comments are below.
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Josh is the creator of PulmCrit.org. He is an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.
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Just had a good CCB OD case and loved your chapter. Was wondering your thoughts on evidence for glucagon therapy…..after some further reading, looks as though the efficacy of glucagon was never proven in any human studies in CCB OD; and early case reports were before recombinant glucagon (possibly actually an insulin effect). Maybe avoid this altogether using other treatments (Ca, HIET, pressors) especially with supply issues and side effects?