ALiEM - June 26, 2021 - By: Bryan D. Hayes and Mike O'Brien
„Bottom Line- Patients presenting to the ED with cardiopulmonary manifestations of inhalant use should have routine electrolytes and an ECG to assess cardiac status
- A quiet environment is important to decrease stimulation and minimize catecholamine surges
- For both stable and non-perfusing dysrhythmias, propranolol or esmolol are reasonable choices to counteract the catecholamine effects, in addition to standard care
- Consider avoiding epinephrine and other catecholamines unless necessary, as they may worsen the dysrhythmia“