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10.1002/ams2.351 http://scihub22266oqcxt.onion/10.1002/ams2.351 30338086/?report=reader!6167400!30338086     free     free     free       Acute+Med+Surg 2018 ; 5 (4): 380-383 Nephropedia Template TP {{tp|p=30338086|t=2018. Cardiac arrest caused by diphenhydramine overdose |pdf=|usr=}}{{30338086}} gab.com Text Cardiac arrest caused by diphenhydramine overdose JO: Acute Med Surg http://www.kidney.de/pget.php?&tw=1&pmid=30338086 #FOAvip CASE: A 45-year-old man presented to our emergency department with disturbance of consciousness; he had mentioned to his family earlier about a drug overdose. When first responders arrived, he suffered cardiac arrest. Cardiac arrest due to drug overdose was diagnosed.The patient was supported with venoarterial extracorporeal membrane oxygenation. Arterial blood gas showed mixed acidosis, and electrocardiogram showed junctional rhythm and complete right bundle branch block. OUTCOME: The patient's blood pressure gradually decreased, and he died on the third day of hospitalization. After death, his serum diphenhydramine concentration at the time of arrival was found to be 18.7 mug/mL. CONCLUSION: Although diphenhydramine is regarded as a safe medication, it shows dose-dependent toxicity. High intake is associated with death; therefore, caution should be exercised in cases of drug overdose. Developing a procedure for rapid measurement in the emergency department should be a priority. Twit Text FOAVip Cardiac arrest caused by diphenhydramine overdose ????Acute Med Surg http://www.kidney.de/pget.php?&tw=1&pmid=30338086 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=30338086 #FOAvip English Wikipedia <ref>{{Cite pmid|30338086}}</ref> Cardiac arrest caused by diphenhydramine overdose #MMPMID30338086 Nishino T; Wakai S; Aoki H; Inokuchi S Acute Med Surg 2018[Oct]; 5 (4): 380-383 PMID30338086show ga CASE: A 45-year-old man presented to our emergency department with disturbance of consciousness; he had mentioned to his family earlier about a drug overdose. When first responders arrived, he suffered cardiac arrest. Cardiac arrest due to drug overdose was diagnosed.The patient was supported with venoarterial extracorporeal membrane oxygenation. Arterial blood gas showed mixed acidosis, and electrocardiogram showed junctional rhythm and complete right bundle branch block. OUTCOME: The patient's blood pressure gradually decreased, and he died on the third day of hospitalization. After death, his serum diphenhydramine concentration at the time of arrival was found to be 18.7 mug/mL. CONCLUSION: Although diphenhydramine is regarded as a safe medication, it shows dose-dependent toxicity. High intake is associated with death; therefore, caution should be exercised in cases of drug overdose. Developing a procedure for rapid measurement in the emergency department should be a priority. äCardiac arrest caused by diphenhydramine overdose (epmc).pdf DeepDyve Pubget Overpricing