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Beta-blocker toxicity: perfusion is more than pulse rate

Educational use only. Not clinically reviewed

38-year-old woman for calm perfusion, metabolic-risk, rescue-boundary, reassessment, and handoff practice. About 6 simulated minutes.

What you will practise

  • Reconcile product, clock, pulse, perfusion, mentation, glucose, ECG, and the whole patient.
  • Recognize beta-blocker cardiogenic shock without pulse-only closure.
  • Activate toxicology, resuscitation, cardiac, glucose, airway, and safety ownership.
  • Review supplied ECG, perfusion, contractility, glucose, electrolyte, prior-care, and rescue evidence.
  • Record bounded qualified rescue intent, then review a strict later report.
  • Hand off recurrent shock, bradycardia, hypoglycemia, electrolyte, volume, rescue, and active risk.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • American Heart Association. Part 10: Adult and Pediatric Special Circumstances of Resuscitation. Section 21.4, life-threatening beta-blocker poisoning. Consulted 2026-08-26.
  • DailyMed. Metoprolol tartrate tablets prescribing information. Set ID 809c6386-0039-42ff-a03e-e42733e229b8. Overdosage section. Revised 2023.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.