Tricyclic toxicity: read the whole electrical pattern
Educational use only. Not clinically reviewed34-year-old woman for calm electrical-pattern, perfusion, rescue-boundary, reassessment, and handoff practice. About 6 simulated minutes.
What you will practise
- Reconcile product, clock, CNS, seizure, perfusion, ECG, and the whole patient.
- Recognize sodium-channel cardiotoxicity without QRS-only closure.
- Activate poison-center, resuscitation, cardiac, airway, seizure, and safety ownership.
- Review supplied ECG, perfusion, acid-base, electrolyte, coingestion, and rescue evidence.
- Record bounded qualified bicarbonate and rescue intent, then review a strict later report.
- Hand off recurrent conduction, shock, seizure, acidemia, rescue, and active risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Lavonas EJ, et al. 2023 American Heart Association Focused Update on the Management of Patients With Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning. Circulation. 2023;148:e149-e184.
- DailyMed. Amitriptyline hydrochloride tablets prescribing information. Set ID 73669354-babc-4687-a4fe-ad0fc1f863ba. Overdosage section. Revised 2024.
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.