Beta-blocker toxicity: perfusion is more than pulse rate
Educational use only. Not clinically reviewed38-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.
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.