You are working at Clerkship General when you see your next patient : a 3 year old male accompanied by his father with chief complaint of vomiting. 

Initial Vitals

  • Temp 98.6
  • HR 50
  • RR 20
  • BP 95/55
  • O2 100%

Critical Actions

  • Identify the history of ingestion
  • Check a blood glucose
  • Call Poison Control
  • Treat with DigiBind
  • Treat subsequent anaphylaxis

Further Reading:

EMCrit – Digoxin Toxicity

The Tox and the Hound – Digoxin: to bind or not to bind