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.