title: Toxicologic issues during cardiopulmonary resuscitation.
abstract: OBJECTIVE
  The following review intends to outline the unique aspects of providing cardiopulmonary resuscitation for the poisoned patient and highlights both current practice and new therapies that apply to toxicologic cases.
  
  
  RESULTS
  Although there are few prospective randomized studies to further evidence-based care of the poisoned patient, there have been several reports of novel uses of both established medications and new medications in toxicologic patients. These case reports highlight treatment possibilities and potential avenues for further research.
  
  
  CONCLUSIONS
  It is important for providers to recognize the limitations of standard advanced cardiac life support algorithms when caring for poisoned patients. Toxicologic causes of cardiopulmonary compromise should be considered along with administration of appropriate antidotes and adjunctive therapies.
authors.affiliation: Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, Washington 98431, USA. Melissa.givens@us.army.mil
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Givens
authors.forename: Ellen
authors.initials: E
authors.lastname: O'Connell
mesh_terms: D054058:Acute Coronary Syndrome / Q000139:chemically induced / Q000503:physiopathology; D000465:Algorithms; D001919:Bradycardia / Q000139:chemically induced / Q000503:physiopathology; D016887:Cardiopulmonary Resuscitation; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D011041:Poisoning / Q000503:physiopathology*; D012769:Shock / Q000139:chemically induced / Q000503:physiopathology; D013610:Tachycardia / Q000139:chemically induced / Q000503:physiopathology