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Overdose. Altered level of consciousness. Hypotensive shock.

30-year-old male brought by a friend who found him dizzy and confused. Initially, the differential is broad. He is bradycardica and hypotensive. Eventually, collateral information is provided about possible overdose from B-blockers is provided.

Goals and Objectives

Educational Goal:

  • Approach to an altered LOC patient.

Objectives (Medical and CRM):

  • Recognition of B blocker toxicity.
  • Review ECG/POCUS findings in b blocker toxicity.
  • Management of B blocker toxicity.


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