GI decontamination
Activated Charcoal x1
Mechanical ventilation if necessary
Activated Charcoal x1
Controversial
May prevent need for mechanical ventilation; may precipitate benzo-withdrawal seizure
Indication:
Consider (though controversial) for coma reversal
Contraindications:
Suspected or known physical dependence on<unk> s
Suspected TCA overdose
Co-ingestion of seizure-inducing agents
Known seizure disorder
Suspected increased intracranial pressure
Dosing
0.2mg IV; may repeat q1min (max dose 3mg)
Flumazenil-Induced Seizure
Treat with phenobarbital or propofol;<unk> s will not work
May prevent need for mechanical ventilation; may precipitate benzo-withdrawal seizure
Consider (though controversial) for coma reversal
Suspected or known physical dependence on<unk> s
Suspected TCA overdose
Co-ingestion of seizure-inducing agents
Known seizure disorder
Suspected increased intracranial pressure
0.2mg IV; may repeat q1min (max dose 3mg)
Treat with phenobarbital or propofol;<unk> s will not work
Benzodiazepine toxicity
Absinthe
Antipsychotic toxicity
Barbiturates
Trazodone toxicity
Benzodiazepines
Synthetic cathinone toxicity
Flunitrazepam 