Skip to main content
Search
Open Menu
Join the FICM...
Main navigation
About us
Open "About us"
Back
About us
About the Faculty
Open "About the Faculty"
Back
About the Faculty
Our Strategic Aims
Board & Committees
Sustainable Critical Care
Meet the Faculty Board
The Faculty Team
History of the FICM
Honours & Awards
Partner Organisations
Critical Care Leadership Forum
Membership
Open "Membership"
Back
Membership
Getting Involved
Subscription Rates
Membership FAQs
Regulations
Contact us
Open "Contact us"
Back
Contact us
Exhibit at or sponsor a FICM event
News
Critical Eye
Resident Eye
Critical Works
Follow us on Twitter
Guest Websites
Open "Guest Websites"
Back
Guest Websites
Infection in Critical Care Quality Improvement Programme (ICCQIP)
UK Critical Care Nursing Alliance (UKCCNA)
National Association of ACCPs (NaACCP)
For Patients
Open "For Patients"
Back
For Patients
What is Intensive Care?
Open "What is Intensive Care?"
Back
What is Intensive Care?
Admission to Intensive Care
Your stay in Intensive Care
Progress and Getting Better Whilst in Hospital
Children, Families and Critical Care
Recovery after Intensive Care
Open "Recovery after Intensive Care"
Back
Recovery after Intensive Care
Going home following a critical care admission
Physical recovery
Common psychological problems after a critical care admission
Hallucinations following a critical care admission
Memory loss following a critical care admission
Stress and anxiety following a critical care admission
Post-traumatic stress disorder following a critical care admission
Nightmares, dreams and poor sleep following a critical care admission
The critical care follow-up clinic
Further resources
Open "Further resources"
Back
Further resources
Useful Links for Patients and Relatives
Training & Exams
Open "Training & Exams"
Back
Training & Exams
Training, Curricula and Assessment
Open "Training, Curricula and Assessment"
Back
Training, Curricula and Assessment
ICM Curriculum
Assessment Forms
Special Skills Years
Dual & Triple CCTs
ICM ARCP Guidance
Academic Training in ICM
Quality Assurance of Training
Guidance on the Combined Programme route to CCT
Portfolio Pathway (CESR)
Paediatric Intensive Care Medicine
Pre-Hospital Emergency Medicine
Core and Specialist Training
Foundation Education
Undergraduate Education
Examinations
Open "Examinations"
Back
Examinations
General Information
Primary Examinations
Calendar & Fees
Final FFICM
Resources for candidates
Open "Resources for candidates"
Back
Resources for candidates
FFICM Exam Chair's Reports
Results & Guidance
Examiners
Observers & Visitors
FFICM Examination Regulations
Reasonable Adjustments
Examination Complaints and Appeals
Lifelong Learning Platform
Open "Lifelong Learning Platform"
Back
Lifelong Learning Platform
LLP Guidance Material
FICM Learner - Step-by-Step Guide
Linking Core Training Evidence
Guidance for Completing ESSRs in the FICM LLP
Linking SLEs to the ICM & Anaes/ACCS curricula
Replicating Placements for Dual ICM & Anaes CCTs
ARCPs: Accessing evidence beyond the ESSR
Logbook Information & Resources
NES e-Portfolio
Intensivists in Training
Open "Intensivists in Training"
Back
Intensivists in Training
Onboarding for the ICM CCT Programme
Completion of Training (CCT)
Intensivist in Training Representatives
2024 Training Guide for IiTs & Trainers
Return to Work Guidance
Overseas or Out of Programme Training
Less Than Full-Time Training
Educational Development Time
Inter-Deanery Transfers
National Reporting System
Support for Intensivists in Training
Cost of Training
Regional Advisors & Faculty Tutors
Open "Regional Advisors & Faculty Tutors"
Back
Regional Advisors & Faculty Tutors
Regional Advisors
Faculty Tutors
Guidance for Trainers
Guidance for Training Units
Careers & Workforce
Open "Careers & Workforce"
Back
Careers & Workforce
Careers Hub
Open "Careers Hub"
Back
Careers Hub
Industrial action in the NHS: Advice and FAQs for members
ICM Career Stories
Discover ICM: Find your future career
#DiscoverICM
National Clinical Impact Awards (NCIA)
Workforce
Open "Workforce"
Back
Workforce
Census
Critical Staffing
Critical Capacity
Local Engagements
Women in Intensive Care Medicine
FICM Thrive
Workforce data
International Medical Graduates
Smaller and Specialist Units Advisory Group (SSUAG)
Recruitment
Open "Recruitment"
Back
Recruitment
ICM ST3 National Recruitment
The ST3 Perspective
Equivalence for Core Programmes
Regional Post Information & Unit Briefs
Appointments to substantive consultant ICM posts
Wellbeing
Open "Wellbeing"
Back
Wellbeing
Fight Fatigue
Support for individuals
Resilience Hub
Open "Resilience Hub"
Back
Resilience Hub
Organisational Resilience
Team Resilience
Personal Resilience
Adaptive Leadership
Leader and manager’s role in resilience
Transforming managers into leaders
Middle East Crisis Resources
ACCPs
Open "ACCPs"
Back
ACCPs
ACCP Training
ACCP Curriculum
ACCP Programme Specification
Sustainable Careers for ACCPs
Recruitment for ACCPs
ACCP Career Stories
ACCP CPD and Appraisal
Optional Skills Frameworks
National Association of ACCPs (NaACCP)
HEI Accreditation Programme
FICM Accredited HEIs
ACCP Networks
National Evaluation of the ACCP Role
Mental Health Act 1983
Pharmacy
Open "Pharmacy"
Back
Pharmacy
Meet the Pharmacy Sub-Committee
Becoming a Critical Care Pharmacist
Critical Care Pharmacist Career Stories
Pharmacy Resources
Standards, Safety & Guidelines
Open "Standards, Safety & Guidelines"
Back
Standards, Safety & Guidelines
Standards
Open "Standards"
Back
Standards
Guidelines for the Provision of Intensive Care Services
Commissioning the service
Critical Care New Builds
Midnight Laws
Guidelines & Resources
Safety
Open "Safety"
Back
Safety
Safety Bulletin
Joint COVID-19 Guidance website
LocSSIPs
Diagnosing Death using Neurological Criteria
Clinical Quality
Open "Clinical Quality"
Back
Clinical Quality
Revalidation and CPD
Patient Feedback for Revalidation
Quality Improvement
Research
FICM-NIHR Awards
Surveys
Critical Futures
Open "Critical Futures"
Back
Critical Futures
Critical Futures: Reports
Critical Condition
Enhanced Care
Open "Enhanced Care"
Back
Enhanced Care
Enhanced Care: Admission & Discharge Criteria
Enhanced Care: Business Cases and SOPs
Enhanced Care: Adaptable Templates
Enhanced Perioperative Care
Life After Critical Illness
Care at the End of Life
FICMLearning
Open "FICMLearning"
Back
FICMLearning
About FICMLearning
Blog
Open "Blog"
Back
Blog
Events Calendar
Case of the Month
Open "Case of the Month"
Back
Case of the Month
Case of the Month Archive
Simulation
Open "Simulation"
Back
Simulation
Getting Started in Simulation
Simulation Scenarios
Debriefing
Podcasts
Open "Podcasts"
Back
Podcasts
Podcast Archive
Webinars
Open "Webinars"
Back
Webinars
Webinar Archive
e-ICM
Open "e-ICM"
Back
e-ICM
Midnight Laws
Search
Cross site
News
Events
FAQs
Shop
Cross site
News
Events
FAQs
Shop
Join the FICM...
Main navigation
About us
Open "About us"
Back
About us
About the Faculty
Open "About the Faculty"
Back
About the Faculty
Our Strategic Aims
Board & Committees
Sustainable Critical Care
Meet the Faculty Board
The Faculty Team
History of the FICM
Honours & Awards
Partner Organisations
Critical Care Leadership Forum
Membership
Open "Membership"
Back
Membership
Getting Involved
Subscription Rates
Membership FAQs
Regulations
Contact us
Open "Contact us"
Back
Contact us
Exhibit at or sponsor a FICM event
News
Critical Eye
Resident Eye
Critical Works
Follow us on Twitter
Guest Websites
Open "Guest Websites"
Back
Guest Websites
Infection in Critical Care Quality Improvement Programme (ICCQIP)
UK Critical Care Nursing Alliance (UKCCNA)
National Association of ACCPs (NaACCP)
For Patients
Open "For Patients"
Back
For Patients
What is Intensive Care?
Open "What is Intensive Care?"
Back
What is Intensive Care?
Admission to Intensive Care
Your stay in Intensive Care
Progress and Getting Better Whilst in Hospital
Children, Families and Critical Care
Recovery after Intensive Care
Open "Recovery after Intensive Care"
Back
Recovery after Intensive Care
Going home following a critical care admission
Physical recovery
Common psychological problems after a critical care admission
Hallucinations following a critical care admission
Memory loss following a critical care admission
Stress and anxiety following a critical care admission
Post-traumatic stress disorder following a critical care admission
Nightmares, dreams and poor sleep following a critical care admission
The critical care follow-up clinic
Further resources
Open "Further resources"
Back
Further resources
Useful Links for Patients and Relatives
Training & Exams
Open "Training & Exams"
Back
Training & Exams
Training, Curricula and Assessment
Open "Training, Curricula and Assessment"
Back
Training, Curricula and Assessment
ICM Curriculum
Assessment Forms
Special Skills Years
Dual & Triple CCTs
ICM ARCP Guidance
Academic Training in ICM
Quality Assurance of Training
Guidance on the Combined Programme route to CCT
Portfolio Pathway (CESR)
Paediatric Intensive Care Medicine
Pre-Hospital Emergency Medicine
Core and Specialist Training
Foundation Education
Undergraduate Education
Examinations
Open "Examinations"
Back
Examinations
General Information
Primary Examinations
Calendar & Fees
Final FFICM
Resources for candidates
Open "Resources for candidates"
Back
Resources for candidates
FFICM Exam Chair's Reports
Results & Guidance
Examiners
Observers & Visitors
FFICM Examination Regulations
Reasonable Adjustments
Examination Complaints and Appeals
Lifelong Learning Platform
Open "Lifelong Learning Platform"
Back
Lifelong Learning Platform
LLP Guidance Material
FICM Learner - Step-by-Step Guide
Linking Core Training Evidence
Guidance for Completing ESSRs in the FICM LLP
Linking SLEs to the ICM & Anaes/ACCS curricula
Replicating Placements for Dual ICM & Anaes CCTs
ARCPs: Accessing evidence beyond the ESSR
Logbook Information & Resources
NES e-Portfolio
Intensivists in Training
Open "Intensivists in Training"
Back
Intensivists in Training
Onboarding for the ICM CCT Programme
Completion of Training (CCT)
Intensivist in Training Representatives
2024 Training Guide for IiTs & Trainers
Return to Work Guidance
Overseas or Out of Programme Training
Less Than Full-Time Training
Educational Development Time
Inter-Deanery Transfers
National Reporting System
Support for Intensivists in Training
Cost of Training
Regional Advisors & Faculty Tutors
Open "Regional Advisors & Faculty Tutors"
Back
Regional Advisors & Faculty Tutors
Regional Advisors
Faculty Tutors
Guidance for Trainers
Guidance for Training Units
Careers & Workforce
Open "Careers & Workforce"
Back
Careers & Workforce
Careers Hub
Open "Careers Hub"
Back
Careers Hub
Industrial action in the NHS: Advice and FAQs for members
ICM Career Stories
Discover ICM: Find your future career
#DiscoverICM
National Clinical Impact Awards (NCIA)
Workforce
Open "Workforce"
Back
Workforce
Census
Critical Staffing
Critical Capacity
Local Engagements
Women in Intensive Care Medicine
FICM Thrive
Workforce data
International Medical Graduates
Smaller and Specialist Units Advisory Group (SSUAG)
Recruitment
Open "Recruitment"
Back
Recruitment
ICM ST3 National Recruitment
The ST3 Perspective
Equivalence for Core Programmes
Regional Post Information & Unit Briefs
Appointments to substantive consultant ICM posts
Wellbeing
Open "Wellbeing"
Back
Wellbeing
Fight Fatigue
Support for individuals
Resilience Hub
Open "Resilience Hub"
Back
Resilience Hub
Organisational Resilience
Team Resilience
Personal Resilience
Adaptive Leadership
Leader and manager’s role in resilience
Transforming managers into leaders
Middle East Crisis Resources
ACCPs
Open "ACCPs"
Back
ACCPs
ACCP Training
ACCP Curriculum
ACCP Programme Specification
Sustainable Careers for ACCPs
Recruitment for ACCPs
ACCP Career Stories
ACCP CPD and Appraisal
Optional Skills Frameworks
National Association of ACCPs (NaACCP)
HEI Accreditation Programme
FICM Accredited HEIs
ACCP Networks
National Evaluation of the ACCP Role
Mental Health Act 1983
Pharmacy
Open "Pharmacy"
Back
Pharmacy
Meet the Pharmacy Sub-Committee
Becoming a Critical Care Pharmacist
Critical Care Pharmacist Career Stories
Pharmacy Resources
Standards, Safety & Guidelines
Open "Standards, Safety & Guidelines"
Back
Standards, Safety & Guidelines
Standards
Open "Standards"
Back
Standards
Guidelines for the Provision of Intensive Care Services
Commissioning the service
Critical Care New Builds
Midnight Laws
Guidelines & Resources
Safety
Open "Safety"
Back
Safety
Safety Bulletin
Joint COVID-19 Guidance website
LocSSIPs
Diagnosing Death using Neurological Criteria
Clinical Quality
Open "Clinical Quality"
Back
Clinical Quality
Revalidation and CPD
Patient Feedback for Revalidation
Quality Improvement
Research
FICM-NIHR Awards
Surveys
Critical Futures
Open "Critical Futures"
Back
Critical Futures
Critical Futures: Reports
Critical Condition
Enhanced Care
Open "Enhanced Care"
Back
Enhanced Care
Enhanced Care: Admission & Discharge Criteria
Enhanced Care: Business Cases and SOPs
Enhanced Care: Adaptable Templates
Enhanced Perioperative Care
Life After Critical Illness
Care at the End of Life
FICMLearning
Open "FICMLearning"
Back
FICMLearning
About FICMLearning
Blog
Open "Blog"
Back
Blog
Events Calendar
Case of the Month
Open "Case of the Month"
Back
Case of the Month
Case of the Month Archive
Simulation
Open "Simulation"
Back
Simulation
Getting Started in Simulation
Simulation Scenarios
Debriefing
Podcasts
Open "Podcasts"
Back
Podcasts
Podcast Archive
Webinars
Open "Webinars"
Back
Webinars
Webinar Archive
e-ICM
Open "e-ICM"
Back
e-ICM
Midnight Laws
Search
Search
Home
Case of the Month #54: A case of inpatient overdose and cardiac arrest
Education
Published
18/12/2024
Take-home messages
It is largely the sodium channel blocking properties of propranolol that leads to the life threatening effects in overdose
Seizures were the presenting sign in this patient, rapidly followed by cardiogenic shock, this can be the case after large propranolol overdose
ToxBase clearly sets out the management of propranolol overdose including during cardiac arrest
Previous
What investigations would you perform ?
Next
References
