• Ann Emerg Med · Jun 1998

    Case Reports

    Electromechanical dissociation 48 hours after atenolol overdose: usefulness of calcium chloride.

    • F Pertoldi, L D'Orlando, and W P Mercante.
    • Intensive Care Unit, General Hospital, Pordenone, Italy.
    • Ann Emerg Med. 1998 Jun 1; 31 (6): 777-81.

    AbstractElectromechanical dissociation (EMD) occurred in a 20-year-old woman 48 hours after an overdose of atenolol, despite intensive treatment of the beta-blocker poisoning (gastric lavage, charcoal, glucagon, epinephrine, atropine, correction of electrolyte abnormalities, administration of fluids, cardiac pacing, and mechanical ventilation). Administration of calcium chloride during EMD repeatedly restored blood pressure. Therefore it may have a role to play in management of atenolol overdose.

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