Paediatric tricyclic antidepressant overdose

A case of paediatric tricyclic antidepressant (TCA) ingestion is discussed in this article. Ingestions, especially from TCAs, are potentially life-threatening, requiring prompt recognition and treatment. Successfully treating a TCA ingestion hinges on the recognition of both the availability of TCAs to the patient and the signs and symptoms of TCA ingestion. Unfortunately, once TCA ingestion is identified, there is variability in management by emergency medical services (EMS), leading to variability in outcomes. The diagnosis and management of TCA ingestion are reviewed in this case study, as well as barriers that prehospital care providers encounter in diagnosing and treatment.

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