UMEM Educational Pearls

Title: Cutting Edge vs. Old School for Overdoses

Keywords: Lavage, activated charcoal, hyperinsulinemia, intralipid, toxicology, narcan (PubMed Search)

Posted: 3/4/2010 by Ellen Lemkin, MD, PharmD (Updated: 9/17/2026)

Cutting Edge	Old School
	Gastric Lavage
Hyperinsulinemia and Euglycemia	Supportive care, glucagon for beta blocker overdoses
Intralipid administration	Supportive care for anesthetic overdoses, TCAs, and other lipid soluble agents
Low dose or NO narcan	High dose narcan for opoid overdoses
Checking salicylates and tylenol levels for overdose	Tox screens for everyone