Multiple Drug O/D

[NREMT-Basic]

As far as benzos killing but respiratory failure more often doing the job...that is the benzo killing...absent any respiratory compromise minus the benzo, the benzo is causing the resp failure...a fine hair to split i know but if the benzo is causing the resp sx, then the benzo is killing.

[hammerpcp]

Hi all. Ran a call last night where the Pt. had O/D'd on multiple drugs. Pt. was Unconscious and Unresponsive O/A. O/E pt resp 10 and shallow BP 130/80, O2 Sat's 96%Ra, Pupils 4mm and very sluggish, Pulse 136 and weak. Hx. pt. had swallowed an unknown number of Temazepam, Bromazepam and Seraquil. Pt had also snorted approx. 10 temazepam. TX was NPA, O2@10lpm via NRB, IV. NS. KVO. cardiac monitoring and rapid transport. As a PCP that is the limit of my scope in this type of call. Also had the Pt. secured to a spine board in case of vomiting or waking up combative. I have two questions, what if anything else could I have done, and what is the general outcome of combination Benzo/SSRI ODs?

Okay, a couple of things here. First of all I don't feel like reading the other replies so if anything is repeated sorry in advance.

1) 10 resps per minute buys you assisted ventilations via BVM.

2) Seroquel is not an SSRI.

3) Where are you from? Why are you starting IV's if you don’t' know the two previous things? Eh.

[rdelisle]

Hammer:

Thank you for correcting me on the SSRI issue after further research I found that yes seroquel is an antipsychotic not an SSRI, my info was based on what one of the nurses at the hospital told me. As for the Assisted ventilation's I felt the PT was breathing well enough on their own and not showing signs of hypoxia. In response to your third query I was trained and am currently working in Newfoundland, however I was born and raised in Ontario, and the reason I posted here was to gain new information and knowledge. As an update the Pt was hospitalized on a Monday evening and awake and discharged on the following Wednesday.

Kit Kat thank you for posting the info on PCP's and intubations, and thank you to everyone else for the info.

[hammerpcp]

I was trained and am currently working in Newfoundland

Well, that explains everything. :alien: