TCA Overdose

5yo F finds and ingests pills from a bottle of amitriptyline. Becomes more somnolent and then develops seizures and torsades.

https://www.pedsresus.org/s/TCA-OD-Case-Outline.pdf

https://www.pedsresus.org/s/TCA-OD-Debrief-Website.pptx

Critical Actions:

1. Recognition of critical TCA OD.

2. Airway management to facilitate charcoal administration.

3. Bicarbonate administration

4. Defibrillation and lidocaine for arrhythmia management.

5. Seizure management