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1.
J Appl Gerontol ; : 7334648221138283, 2022 Nov 03.
Article in English | MEDLINE | ID: covidwho-2098204

ABSTRACT

Using a mixed-method study design, we examined the effects of a socially assistive humanoid robot (SAHR), called Hyodol, on depressive symptoms and health-related quality of life (HRQOL) of low-income, socially isolated older adults (N = 180). Quantitative outcomes were assessed at baseline (before Hyodol deployment) and at 3 and 6 months after baseline. Results showed reduced depressive symptoms and improved HRQOL at 3 months; however, these positive effects did not extend to 6 months. Ten focus group participants perceived Hyodol to be a valuable companion especially during the COVID outbreak. These results suggest that while Hyodol may have provided companionship for some low-income, socially isolated older adults during home confinement, its effects on depression and HRQOL were limited. Further research is needed to assess long-term effects of SAHRs as appropriate tools for reducing social isolation and improving behavioral health among community-dwelling older adults.

2.
Psychol Health Med ; : 1-11, 2022 Nov 03.
Article in English | MEDLINE | ID: covidwho-2097107

ABSTRACT

When coronavirus disease (COVID-19) news along with protective health recommendations first came to people's life, such ambiguous information became a public opinion. Performing protective behaviors can be regarded as an approval of the majority opinion as people have to alter their established health positions and practices. So far, the association between public opinion and protective health behaviors is unclear especially in the pandemic context. This study utilized a survey data collected between 1 and 10 April 2020 in Germany (n = 101), Austria (n = 261), Switzerland (n = 26), and China (n = 267). We compared the protective health behaviors between the Chinese and European participants, as well as examined the associations between the protective health behaviors, peer influence, and fear of social isolation. Protective health behaviors were found similar between Chinese and European participants, although being independent from peer influence and fear of social isolation were related to protective health behaviors in the Chinese sample. Our cross-national findings are consistent with previous studies, suggesting that both official and unofficial health communication show stronger influences in Asian populations. Findings from this study provide advice for public communication strategies to promote protective health behaviors during pandemics.

4.
Environment-Behaviour Proceedings Journal ; JOUR(21):207-214, 7.
Article in English | Web of Science | ID: covidwho-2082648

ABSTRACT

COVID-19 pandemic has caused psychological impact on human being. This study is aimed to determine the prevalence and predictors of depression, anxiety and stress among undergraduate students during COVID-19 pandemic. A cross-sectional survey using Depression Anxiety Stress Scale 21 was conducted on 319 students. The results demonstrated that 21.6% -33% of the students had moderate to extremely severe depression, anxiety, and stress. The number of close friends and number of persons living at home were identified as their most significant predictors. These findings provide preliminary awareness towards understanding the mental health issue among college students during the COVID-19 pandemic.

5.
Geriatr Nurs ; 48: 220-224, 2022 Oct 22.
Article in English | MEDLINE | ID: covidwho-2083164

ABSTRACT

To reduce the spread of the Sars-CoV-2 virus, governments in many countries adopted a social isolation strategy. However, social isolation may adversely affect people's health, e.g., by decreasing the muscle function of lower limbs. We recruited 118 patients who had undergone total hip arthroplasty (THA) and 87 patients with moderate to severe hip joint osteoarthritis (OA) and measured hip muscle strength, hip joint pain, and walking ability from before to one year after the start of the COVID-19 pandemic. During the pandemic, hip flexion (straight leg raise, SLR) strength decreased in 13.1% of patients in the post-THA group and 25.6% in the severe-OA group; in the severe-OA group, the decrease in SLR strength was mainly in patients aged 65 years and older. In addition, pain increased to mild or moderate and walkable distance decreased in more patients in the severe-OA group.

7.
Rev. Univ. Ind. Santander, Salud ; 53: e300, dic. 2021. tab, graf
Article in Spanish | WHO COVID, LILACS (Americas) | ID: covidwho-2081181

ABSTRACT

Resumen Introducción: Los gobiernos al inicio de la pandemia, con el fin de mitigar y suprimir la propagación del virus implementaron medidas no farmacológicas ante la falta de vacunas y tratamientos farmacológicos efectivos. El gobierno colombiano emprendió acciones para controlar el contagio del COVID-19. Estas afectaron a la población y por ello el país requiere una evaluación profunda de la respuesta social ante la pandemia. Objetivo: Analizar la respuesta social a las medidas no farmacológicas para controlar la propagación del COVID-19 en Colombia. Metodología: Estudio exploratorio descriptivo transversal. El total de personas que respondieron la encuesta fue de 3549 adultos, entre el 8 y el 20 de abril de 2020. Resultados: En el país existen tres grupos de personas que han respondido a la pandemia de formas diferentes: quienes se resisten (34 %), quienes sufren (26 %) y quienes la aceptan (40 °%). En general, 90 % de las personas adoptó al menos una medida para protegerse, el 68 % adoptó más de tres medidas de higiene y autocuidado y un 60 °% implementó más de tres medidas de distanciamiento físico. Conclusiones: Al inicio de la pandemia, la ausencia de una vacuna hizo que las acciones individuales fueran tan importantes como las medidas implementadas por el gobierno. Sin embargo, pedagogía a nivel comunitario y el acceso a la información correcta, clara y concisa contribuyó con cambios de comportamientos positivos en la higiene, autocuidado y adherencia a medidas de distanciamiento, todo esto ha sido crucial para detener la propagación de COVID-19.


Abstract Introduction: At the beginning of the pandemic, governments implemented non-pharmacological measures to mitigate and suppress the spread of the virus in the absence of vaccines and effective pharmacological treatments. The Colombian government undertook actions to control the spread of COVID-19. These affected the population; therefore, the country requires a thorough evaluation of the social response to the pandemic. Objective: To analyze the social response to non-pharmacological measures to control the spread of COVID-19 in Colombia. Methodology: Cross-sectional descriptive exploratory study. The total number of people who responded to the survey was 3549 adults, between April 8 and 20, 2020. Results: There are three groups of people in the country who are responding to the pandemic in different ways: those who resist (34%), those who suffer (26%) and those who accept it (40%). Overall, 90% of people took at least one measure to protect themselves and others, 68% took more than three hygiene and self-care measures, 60% implemented more than three physical distancing measures. Conclusions: At the beginning of the pandemic, in the absence of a vaccine, individual actions are as important as measures implemented by the government. However, community-level education and access to correct, clear and concise information contributed to positive behavioral changes in hygiene, self-care and adherence to distancing measures, all of which are crucial to stop the spread of COVID-19.

8.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 14: e-11796, 2022. tab
Article in English, Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-2072225

ABSTRACT

Objetivo: desvelar as percepções dos idosos sobre as repercussões da COVID-19 na terceira idade. Método: estudo exploratório, descritivo, com abordagem qualitativa. Participaram do estudo 20 idosos residentes em Santa Catarina, Brasil. A coleta de dados ocorreu por meio de questões semiestruturadas, através de vídeo chamada no WhatsApp® devido à pandemia. Para a organização e análise dos dados utilizou-se a análise de conteúdo. Resultados: emergiram duas categorias: 1) Sentimentos dos idosos despertados no enfrentamento da COVID-19; 2) Vivências dos idosos na conjuntura pandêmica. Conclusão: a situação pandêmica despertou sentimentos de tristeza, solidão, ansiedade, saudade e medo nos idosos, além de dificuldades na adaptação ao isolamento, frente ao distanciamento físico de familiares e amigos, com interrupção das atividades de lazer, trabalho e atividades físicas. Contudo, as tecnologias foram aliadas na manutenção do contato com outras pessoas, apesar das dificuldades no manuseio


Objective: to reveal the perceptions of the elderly about the repercussions of COVID-19 on the elderly. Method: exploratory, descriptive study with a qualitative approach. Twenty elderly residents in Santa Catarina, Brazil participated in the study. Data collection took place through semi-structured questions, through video call on WhatsApp due to the pandemic. For the organization and analysis of data, content analysis was used. Results: two categories emerged: 1) Feelings of the elderly awakened in the face of COVID-19; 2) Experiences of the elderly in the pandemic context. Conclusion: the pandemic situation aroused feelings of sadness, loneliness, anxiety, homesickness and fear in the elderly, in addition to difficulties in adapting to isolation, in the face of physical distancing from family and friends, with interruption of leisure, work and physical activities. However, technologies were allies in maintaining contact with other people, despite the difficulties in handling


Objetivo: revelar las percepciones de los ancianos sobre las repercusiones de la COVID-19 en los ancianos. Método: estudio exploratorio, descriptivo con abordaje cualitativo. Veinte ancianos residentes en Santa Catarina, Brasil, participaron del estudio. La recolección de datos se realizó a través de preguntas semiestructuradas, a través de videollamada en WhatsApp debido a la pandemia. Para la organización y análisis de los datos se utilizó el análisis de contenido. Resultados: surgieron dos categorías: 1) Sentimientos de los ancianos despertados frente a la COVID-19; 2) Experiencias de los adultos mayores en el contexto de la pandemia. Conclusión: la situación de pandemia despertó sentimientos de tristeza, soledad, ansiedad, nostalgia y miedo en los ancianos, además de dificultades para adaptarse al aislamiento, ante el distanciamiento físico de familiares y amigos, con interrupción del ocio, trabajo y actividades física. Sin embargo, las tecnologías fueron aliadas para mantener el contacto con otras personas, a pesar de las dificultades de manejo


Subject(s)
Humans , Male , Female , Aged , Social Isolation , Health of the Elderly , Coronavirus Infections
9.
Revista Argentina De Ciencias Del Comportamiento ; 14(2):75-86, 2022.
Article in English | Web of Science | ID: covidwho-2068076

ABSTRACT

In Argentina, social isolation during the COVID-19 pandemic has had an impact on the practice of psychotherapy. The goal was to describe factors associated with the use of telepsychotherapy during social isolation. An online survey was conducted among 978 psychologists and psychiatrists from different provinces and the city of Buenos Aires. 77.7% of the participants started using online psychotherapy for the first time at the beginning of social isolation;62.6% of the participants treated half or more of their patients online. Significant relationships were detected between online psychotherapy and various factors that characterize psychotherapeutic practice, but these are weak effects. Participants with a higher percentage of patients in telepsychotherapy reported fewer treatment interruptions and similar or higher levels of income compared to those prior to social isolation. Drastic changes in psychotherapeutic practice during social isolation need to be studied in depth.

10.
Pakistan Journal of Medical and Health Sciences ; 16(7):438-440, 2022.
Article in English | EMBASE | ID: covidwho-2067742

ABSTRACT

Introduction: Pandemics affect people in a defeatist manner and become stressful for people with relatives which need specific forms of care and attention. The study was conducted to find out if anxiety prevails among caretakers during the Covid-19 Pandemic as according to the literature review caregivers experience burden and fears related to their care-recipients and telerehabilitation. Material and Methods: The study used cross sectional survey and quantitative research.50 care-givers participated in the research where they filled online questionnaires inspired and derived from care-giver burden scale and beck anxiety inventory. Anxiety was clearly evident as most of the care-givers agreed to have feelings of nervousness 19 (38%), feeling anxious 18 (36%), feeling distressed 22 (44%), complaints about emotional burden 23 (43%) and 23 (46%) constant immersion in duties towards care-recipients. Results: SPSS tables depict the analyzed results and their interpretation. The results show 36%of the care-givers agreed that they face anxiety when a situation gets out of control, 44% were distressed about not getting enough help from healthcare team and other family and friends, 55% are apprehensive about their present condition and 46% are emotionally challenged and constantly immersed in duties owing to their family members. Conclusions: Anxiety and depression as a result of caregiving burden is common among care-givers and needs to be addressed as soon as possible. This makes it essential that health professionals pay heed and attention to develop interventions for care-givers and provide them with pertinent knowledge.

11.
Journal of Medical Sciences (Peshawar) ; 30(3):176-180, 2022.
Article in English | EMBASE | ID: covidwho-2067733

ABSTRACT

Objective: The current study has been designed to investigate the relationship between social isolation and mental illness and to identify the mediating role of resilience coping in adults. Method(s): The online data of 600 adults were recruited through a snowball sampling strategy. The age range of the participants was 18 years and above (M=25.64, SD=7.635). UCLA Loneliness Scale (Russel, 1996), Brief Resilience Coping Scale (Sinclair & Wallston, 2004), and Depression, Anxiety and Stress Scale (Lovibond & Lovibond, 1995) were used. Result(s): Findings showed a significant positive association between social isolation and mental illness, while a negative association between social isolation and resilience coping. Additionally, resilience coping mediated the association between social isolation and mental illness [95% CI (LLCI:.0132, ULCI:.0802)]. Conclusion(s): Social isolation poses significant mental health risks and resilience coping can be used to improve mental illnesses. Copyright © 2022, Khyber Medical College. All rights reserved.

12.
British Journal of Midwifery ; 30(10):546-553, 2022.
Article in English | Academic Search Complete | ID: covidwho-2067259

ABSTRACT

Background/Aims: The COVID-19 pandemic significantly affected teaching for nursing and midwifery academics, as it shifted from face-to-face to online teaching from home. However, their experiences and how this impacted their ability to fulfil their academic roles has not been reported. This study investigated midwifery and nursing academics' working from home experiences during the COVID-19 pandemic and how this has impacted their ability to fulfil their academic roles. Methods: A qualitative approach was used for this study, analysing demographics and the answers to open-ended questions from 91 midwifery and nursing academics. Results: Six themes were derived: isolation, loneliness, work rituals, productivity, blurred boundaries and health and wellbeing. Generally, participants reported that they were more organised, focused and efficient, which gave them more time to spend with their families and pets. Most thought that they were more productive at home. However, the working environments for some participants were not ideal, as they were working in their kitchen or dining area, or in 'make-do' offices. Conclusions: The COVID-19 pandemic posed new working challenges for academics, many of whom had worked from home for a few days, but then needed to work from home for extended periods because of lockdowns. Academics reported an overall positive outlook for working from home, as it enabled more family time and more productivity. [ FROM AUTHOR] Copyright of British Journal of Midwifery is the property of Mark Allen Holdings Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

13.
Sustainability ; 14(19):12923, 2022.
Article in English | ProQuest Central | ID: covidwho-2066481

ABSTRACT

To prevent the spread of the COVID-19 pandemic, countries around the world adopted varying degrees of lockdown. The lockdowns restricted the freedom of college students, which led to stress and mental health issues. This study constructed a mediating model to explore the relationship between COVID-19 lockdown stress and Chinese college students’ mental health;the mediating role of fear of missing out (FoMO) was also investigated. A 7-item COVID-19 student stress questionnaire (CSSQ), a 6-item mental health scale, and a 10-item FoMO scale were distributed among 695 college students who experienced lockdown in China. The results showed that COVID-19 lockdown stress was significantly and negatively correlated with mental health, significantly and positively correlated with FoMO, and FoMO was significantly and negatively correlated with mental health. COVID-19 lockdown stress significantly and negatively influenced Chinese college students’ mental health directly and indirectly via the complementary partial mediating effect of FoMO. The results intensify our comprehension of the influence of COVID-19 lockdown stress and mental health problems in Chinese college students and also provide practical suggestions for college educators to address such scenarios.

14.
Int J Environ Res Public Health ; 19(19)2022 Oct 05.
Article in English | MEDLINE | ID: covidwho-2066043

ABSTRACT

PURPOSE: The aim of the study was to identify the frequency of loneliness and to examine the factors associated with loneliness among homeless individuals in Germany during the COVID-19 pandemic. METHODS: Data were taken from the 'national survey on the psychiatric and somatic health of homeless individuals during the COVID-19 pandemic'. The data collection took place from 26th July to 17th September 2021 (the analytical sample included n = 491 observations). The well-established UCLA-3 tool was used to quantify loneliness. Independent variables included sex, age, marital status, the existence of children and pets, level of education, country of origin, duration of homelessness, alcohol and drug consumption, mental health concerns and concerns regarding COVID-19 illness. Multiple logistic regressions were used to examine the predictors of loneliness. RESULTS: The frequency of loneliness was 41.7% for the total sample. Multiple logistic regression analysis stratified by gender showed that a higher likelihood of loneliness was associated with being born in Germany, being middle aged (40 to 49 years compared to 18 to 29 years), having mental health problems and a short period of homelessness (1 month compared to longer periods) among women. In men, a higher likelihood of loneliness was associated with a higher fear of COVID-19 and a short period of homelessness. CONCLUSIONS: Our study revealed a high frequency rate of loneliness among homeless individuals. The study results highlight the associations between some explanatory variables (i.e., the duration of homelessness and mental health problems). Identifying the factors associated with loneliness may help to adequately address the problems of homeless individuals at risk of loneliness. Longitudinal studies are required to confirm our findings.


Subject(s)
COVID-19 , Homeless Persons , COVID-19/epidemiology , Child , Female , Germany/epidemiology , Homeless Persons/psychology , Humans , Loneliness/psychology , Male , Middle Aged , Pandemics
15.
Int J Environ Res Public Health ; 19(19)2022 Sep 29.
Article in English | MEDLINE | ID: covidwho-2065967

ABSTRACT

In South Korea, digital literacy education programs are expected to help its older population participate in online welfare services to increase their social support, self-esteem and well-being. This quasi-experimental study assesses the effects of digital literacy education on digital device usage among rural-dwelling adults aged 65 and above and evaluates the positive effects of digital literacy education on depression, happiness, quality of life, self-efficacy and cognitive function. A digital literacy education program and a customized questionnaire survey were conducted to evaluate smartphone use competency and the program's effects, respectively. We also conducted a chi-square test, paired t-test and difference-in-differences regression analysis. The experimental group showed a significant increase in smartphone usage and video recording capacity than the control group. The happiness and cognitive function scores for dementia screening increased significantly by a mean of 3.7 and 1.1 points, respectively, after digital literacy education. Cognitive function increased significantly by 1.305 points in the experimental group compared to the control group (ß = 1.305, p = 0.05 *). Digital literacy education for older adults in rural areas greatly increased smartphone use, video recording capacity, happiness and cognitive function. Based on these findings, it is recommended that the government should implement digital literacy education for older adults in rural areas to increase their happiness and cognitive function.


Subject(s)
Health Literacy , Quality of Life , Aged , Cognition , Humans , Literacy , Social Behavior , Surveys and Questionnaires
16.
Obstetric Medicine ; 15(1 Supplement):27, 2022.
Article in English | EMBASE | ID: covidwho-2064389

ABSTRACT

Aims: To investigate postpartum maternal mental health, wellbeing, physical activity, dietary, and sleep patterns during the coronavirus (COVID-19) social distancing restrictions. Method(s): A total of 130 women residing in Australia in their first year postpartum were invited to complete an online survey during level 3 and 4 social distancing restrictions and again once restrictions had been lifted. Maternal mental health was assessed using the Depression, Anxiety, Stress Scale. Physical activity was assessed using the Godin- Shephard Leisure Score and accelerometry. Dietary patterns were assessed using an adapted food frequency questionnaire. Sleep and values for general health were assessed using non-validated Likert scales. Data was analysed using an analysis of variance. Result(s): Data from 45 participants (33+/-4 years, 6+/-4 months postpartum;body mass index (BMI): 26+/-4 kg.m-2) are presented. Mean depression, anxiety, and stress scores were significantly lower after COVID-19 compared to during restrictions (all p < 0.04). Similarly, maternal wellbeing was significantly improved after COVID-19 restrictions had lifted for social functioning, role limitations due to emotional health, and mental health (all p < 0.03). Interestingly, women increased their legume intake after COVID-19 restrictions had been lifted (p =0.04). No differences were seen in the values upheld by women for their general health, sleep, relationships, weight, or physical activity (all p > 0.05). Discussion(s): Data shows women in their first year postpartum during COVID-19 social distancing restrictions and though subsequent effects on sleep, diet, and physical activity remains to be determined following the analysis of food diaries and accelerometers. Data during the COVID-19 pandemic suggests whilst women were impacted by the social distancing restrictions, they do not compare to similar studies published internationally of women in the same demographic. This data will serve to provide further information for the necessary support women during the postpartum require in times of social isolation and pandemic environments.

17.
Pharmaceutical Journal ; 306(7947), 2022.
Article in English | EMBASE | ID: covidwho-2064927
18.
Clin Gerontol ; : 1-8, 2022 Oct 08.
Article in English | MEDLINE | ID: covidwho-2062522

ABSTRACT

OBJECTIVES: We aimed to examine the impact of COVID-19 pandemic-related stay-at-home orders on weekly reports of mood and activity before and during COVID-19 in a sample of older Veterans and their cohabitants. METHODS: Urban and rural Veterans and their cohabitants living in the Pacific Northwest ≥62 years old were enrolled as part of the Collaborative Aging Research Using Technology initiative (n = 100, age = 71.2 ± 6.5, 41% women). Participants reported frequency of social activities (e.g., travel away), physical illness, and mood (blue mood and loneliness) via weekly online health forms. RESULTS: A total of 2,441 weekly online health forms (OHFs) were collected from 100 participants. During the COVID-19 pandemic, blue mood (OR = 4.4, p < .0001) and loneliness (OR = 7.2, p < .0001) were significantly higher than before the pandemic, and travel away from home was significantly lower (OR = 0.5, p < .0001). Prevalence of blue mood and loneliness were not associated with rurality. CONCLUSIONS: The current study established that blue mood and loneliness were significantly more prevalent in older Veterans following COVID-19 stay-at-home orders regardless of rurality. CLINICAL IMPLICATIONS: The COVID-19 pandemic associated health precautions, while necessary to curb acute health risks, have created a unique situation that places vulnerable populations at increased risk of low mood.

19.
Gerontol Geriatr Educ ; : 1-19, 2022 Oct 13.
Article in English | MEDLINE | ID: covidwho-2062492

ABSTRACT

Pervasive feelings of social isolation and loneliness have been longstanding among up to half of older adults, and have received increased attention amid the COVID-19 pandemic. Programs to address loneliness and facilitate meaningful connections are vital for physical and mental wellbeing. The purpose of this study was to explore older adults' experiences participating as volunteers in the Aging is Very Personal (AIVP) service-learning program in relation to feelings of social connectedness. As part of an interprofessional gerontology course, 112 undergraduate students interviewed 55 older adult volunteers via Zoom on the lived experience of aging. Older adult volunteers were surveyed on their experiences with the COVID-19 pandemic and the virtual AIVP program. Data were analyzed using descriptive statistics and reflexive thematic analysis of open-ended questions. Participants reported participation in AIVP had a positive effect on their mood (86%) and made them feel more socially connected (71%). Six themes summarized their experiences: reduced feelings of social isolation; brought me joy; created meaningful intergenerational relationships; gave me a sense of purpose; facilitated genuine engagement; and created important learning opportunities for future health professionals. Virtual AIVP was identified as a valuable program to improve mood and feelings of social connectedness.

20.
Chest ; 162(4):A1014, 2022.
Article in English | EMBASE | ID: covidwho-2060752

ABSTRACT

SESSION TITLE: Cases of Overdose, OTC, and Illegal Drug Critical Cases Posters SESSION TYPE: Case Report Posters PRESENTED ON: 10/17/2022 12:15 pm - 01:15 pm INTRODUCTION: The COVID-19 pandemic raised economic strife, social isolation, fear from contagion, and anxiety to a level where 45% of surveyed U.S. adults report a detriment to their mental health. With U.S. suicide rates up from 10 to 14 cases per 100,000 over the past 20 years, the health and safety of a vulnerable mental health population becomes more of a concern. We report a case of an individual with depression who was resuscitated after severe toxicity from alcohol and beta-blocker ingestions. CASE PRESENTATION: A 58-year-old woman with prior suicide attempts was found in an obtunded state after finishing a 20-pack of beer and swallowing a propranolol 20 mg pill bottle. On admission, she presented with bradycardia, hypotension, and alteration to a Glasgow Coma Scale of 9 with emesis residue on her face. Her blood gas revealed an anion-gap metabolic acidosis with a pH of 7.26, lactate of 2.53, normal potassium and calcium, and glucose of 134 mg/dL. Toxicity labs were notable for an alcohol of 199 mg/dL. Her EKG demonstrated a junctional bradycardia with a p-wave complex after the QRS consistent with retrograde depolarization of the atrium (Image 1). She was intubated to protect her airway. She subsequently developed cardiac arrest secondary to pulseless electrical activity. She underwent CPR for 33 minutes with boluses of intravenous epinephrine, glucagon, insulin, calcium gluconate, and sodium bicarbonate prior to return of spontaneous circulation. Due to failure of transcutaneous pacing, a transvenous pacer was placed. In concert with Poison Control, she was started on an a euglycemic insulin drip and an intralipid infusion. Her hemodynamics improved, and she was weaned off pacing and ICU interventions within 24 hours. She was discharged a week after admission with no residual morbidities. DISCUSSION: Overdose from nonselective beta-blockers can result in bradycardia, hypotension, seizures, QRS widening, QTc prolongation with ventricular tachy-arrhythmias, hyperkalemia, and hypoglycemia. Understanding the pharmacodynamics of beta-blocker toxicity enables targeted interventions to improve: chronotropy with epinephrine, glucagon, and pacing;inotropy with insulin, calcium, glucagon, and phosphodiesterase inhibitors;QRS widening with sodium bicarbonate;and QTc prolongation with magnesium or lidocaine. The high lipid solubility of propanol allows for intravenous lipid infusions to aid in drug elimination for patients in refractory cardiogenic shock. CONCLUSIONS: Despite a lack of labs for monitoring beta blocker toxicity, our case demonstrates successful resuscitation in a severe overdose. Perhaps an absence of hyperkalemia, hypoglycemia, QRS and QTc changes, and tachy-arrhythmias in this incident portended to a decreased morbidity and mortality. Ultimately, we reaffirmed the role of intralipid infusions as a critical treatment adjunct for recovery from cardiogenic shock secondary to beta blockade. Reference #1: Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM. 2020;113(10):707-712. Reference #2: Kerns W 2nd. Management of beta-adrenergic blocker and calcium channel antagonist toxicity. Emerg Med Clin North Am. 2007;25(2):309-viii. Reference #3: Anderson AC. Management of beta-adrenergic blocker poisoning. Clin Pediatr Emerg Med. 2008;9(1):4–16. DISCLOSURES: No relevant relationships by Jackie Hayes No relevant relationships by Andrew Salomon

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