Mark, i'm on the same route as you here, but i think that you should rephrase 60 beats, as the electrical rate. Regardless, in our system, so long as the electrical rate is above 60, your withhold atropine. (as per ACLS as well, atropine is only for 'slow PEA rate')
But what it seems to me...
I agree with TTLWHKR
This is an ALS emergency, in my eyes, if you have the resources.
If its ALS, the glucose will be checked, and treated appropriately. EKG will be put on and IV started. Plus the TCA overdose can be countered with sodium bicarb. The time of ingestion is also important...
Not that I am a big fan of reading my protocol book word for word, but we just got the new ones last week and i figured this tidbit was relevent:
Found under 'Cardiac Arrest'
"Special Note: Unless special situations are present (e.g. hypothermia), for nontraumatic and blunt traumatic...
From one newer medic to another: GET THE DUBINS BOOK. I've had it for two years now, and when I was doing clinicals at our trauma/teaching center, I ended up explaining 12-Leads to medical students, and was able to keep up with residents and attending MD's. Read it, practice it, read it again...
One of the major EMS magazines (i think) had an article I was reading recently which also discussed the use of Glucagon in refractory anaphylaxis, due to the potential of pts being on B-blockers
i'm on my way to work, but here's a quick quote i found:
"glucagon plays a special role in patients...
Hey all, I've been stalking here for awhile and decided to join tonight, mainly because I'm bored at work. In my never-ending quest to improve my knowledge and proficiency, I was wondering if anyone can recommend reading material that they consider helpful and of high value to them.
Here's...