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Additionally, the article explores the use of electrical pacing and venoarterial extracorporeal membrane oxygenation (VA-ECMO). Following successful weaning of VA-ECMO, the patient was successfully extubated but remained neurologically impaired due to hypoxic-ischaemic brain injury, critical care polyneuropathy and renal failure requiring dialysis. He has cerebral performance category 3; he has mild cognitive impairment but able to perform some activities of daily living independently and communicate his thoughts and needs. He requires no respiratory or cardiovascular support.<\/jats:p>","DOI":"10.1136\/bcr-2018-225324","type":"journal-article","created":{"date-parts":[[2018,8,27]],"date-time":"2018-08-27T11:07:08Z","timestamp":1535368028000},"page":"bcr-2018-225324","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Pharmacological and mechanical management of calcium channel blocker toxicity"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2013-9996","authenticated-orcid":false,"given":"Fiqry","family":"Fadhlillah","sequence":"first","affiliation":[{"name":"Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Patil","sequence":"additional","affiliation":[{"name":"Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,8,27]]},"reference":[{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2013.06.012"},{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.2","first-page":"911","article-title":"Annual report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 29th Annual Report","volume":"2012","author":"Bronstein","year":"2011","journal-title":"Clin Toxicol"},{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.3","doi-asserted-by":"publisher","DOI":"10.1006\/taap.1997.8195"},{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.4","doi-asserted-by":"crossref","first-page":"414","DOI":"10.3109\/15563650.2012.679277","article-title":"A retrospective review of whole bowel irrigation in pediatric patients","volume":"50","author":"Jc","year":"2012","journal-title":"Clin Toxicol"},{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.5","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.jemermed.2007.11.100","article-title":"Whole bowel irrigation and the hemodynamically unstable calcium channel blocker overdose: primum non nocere","volume":"38","author":"Cumpston","year":"2010","journal-title":"J Emerg Med"},{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.6","doi-asserted-by":"crossref","first-page":"202","DOI":"10.5694\/j.1326-5377.1993.tb121705.x","article-title":"Use of polyethylene glycol whole-bowel lavage and high-dose calcium","volume":"158","author":"Buckley","year":"1993","journal-title":"Med J Aust"},{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.7","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2000.9264"},{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.8","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/72.3.361"},{"key":"2025082803224809000_2018.aug27_1.bcr-2018-225324.9","first-page":"229","article-title":"Intoxications aigu\u00ebs par diltiazem. 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