Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Initial stabilization
Airway protection triggers
Refractory shock with declining mental status
Recurrent seizures
Breathing targets
SpO2 94-98%
End-tidal CO2 trending after intubation
Circulation priorities
Two large-bore IV lines
Arterial line for severe shock
Decontamination timing
Activated charcoal window within 1-2 hours
Extended-release ingestion window up to 4 hours if protected airway
High-risk features
Immediate escalation triggers
Bradycardia with hypotension
SBP < 90 mmHg or MAP < 65 mmHg
Altered mental status
Ventricular dysrhythmia
Wide QRS
Ventricular tachycardia
Refractory shock
Vasopressor requirement escalating within 15-30 minutes
Lactate rising despite fluids
Key concepts
Toxidrome recognition
Beta-blocker predominant pattern
Bradycardia
Hypoglycemia risk
QRS widening with membrane-stabilizing agents
Calcium channel blocker predominant pattern
Bradycardia or relative bradycardia
Hyperglycemia
Vasodilatory shock with dihydropyridines
Mixed ingestion pattern
Profound bradycardic shock
Early refractory hypotension
Consultation and coordination
System activation
Poison center consultation early
Antidote strategy
Extracorporeal support planning
Critical care consultation
High-dose insulin protocol
Vasopressor escalation pathway
Cardiology consultation
Pacing strategy for refractory bradycardia
Mechanical circulatory support candidacy
ECMO center contact if shock persists
Ongoing vasopressor escalation
Cardiac arrest or peri-arrest state
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.