Welcome to the new year! We start this year off with a classic… TCA toxicity that is brought to you by one of our 3rd years, Dr. Wes Gallaher. TCA’s are some dirty drugs with a lot of different clinical effects.

High yield points for the management:

1. Evaluate hemodynamics

2. Obtain an EKG at the beginning and 6 hours after ingestion

3. Watch those intervals!

4. When in doubt: Benzos for seizures and Sodium Bicarbonate for a wide QRS

Remember to always call your friendly poison center!

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