Publication

Glucagon treatment for symptomatic beta blocker overdose

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Keyword
Emergency Medical Services
 Glucagon
 Scope of Practice
 Drug Overdose
 Beta Blockers
Journal Title
Journal of Paramedic Practice
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Publication Volume
Publication Issue
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Publication End Page
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Publications - South Western Ambulance Service
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URI
http://hdl.handle.net/20.500.12417/1036
DOI
10.12968/jpar.2011.3.10.564
Abstract
Symptomatic beta blocker overdose is a relatively uncommon, but potentially life-threatening condition (Sheppard, 2006; Health Protection Agency, 2010). Current definitive treatment for these patients involves intravenous glucagon therapy, and as such, glucagon is considered both a first-line treatment and an antidote in cases of symptomatic beta blocker overdose (Joint Formulary Committee, 2011; National Poisons Information Service, 2011a; 2011b). This case report examines an intentional overdose of propranolol, including paramedic prehospital management, and subsequent in-hospital definitive treatment involving intravenous glucagon therapy. Paramedics have experience and knowledge of administering intramuscular glucagon as part of their formulary, and possess the necessary skills for obtaining intravenous access. Therefore, could intravenous glucagon be considered appropriate for administration by paramedics as a prehospital intervention in cases of symptomatic beta blocker overdose? Abstract published wiht permission.
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