What is included in the prehospital care of severe caffeine toxicity?

Updated: Aug 21, 2018
  • Author: David Yew, MD; Chief Editor: Michael A Miller, MD  more...
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Answer

Prehospital care is primarily supportive, and most cases resolve. Emergency management of more severe cases includes the following:

  • ABCs (Airway, Breathing, Circulation)

  • Management of hypotension

  • Correction of dysrhythmias

  • Management of seizures (with benzodiazepines or barbiturates)

  • Correction of metabolic disturbances (hypokalemia, rhabdomyolysis, hyperglycemia, metabolic acidosis)

  • Treatment of prolonged vomiting

  • Decontamination with activated charcoal, sorbitol, or both

  • In rare severe cases, hemoperfusion or hemodialysis


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