{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T13:59:12Z","timestamp":1764079152424},"reference-count":15,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Emergency Medicine"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Suicide attempt via sodium pentobarbital is uncommon. A 48-year-old woman with a history of depression and prior suicide attempt was found unresponsive by her veterinarian spouse near a syringe containing pink solution. Upon EMS\u2019 arrival, the patient was experiencing apnea, hypoxemia, and miotic pupils; her blood glucose level measured 73\u2009mg\/dL. She was bradycardic and administered atropine with transient improvement in heart rate and transported to an emergency department; 2\u2009mg of intravenous naloxone was administered without effect. She was endotracheally intubated via rapid sequence intubation. Rapid urine drug screening detected both benzodiazepines and barbiturates. The patient was transferred to an intensive care unit where she demonstrated a nearly absent radial pulse. Emergent fasciotomy to the left forearm and carpal tunnel was performed for acute compartment syndrome; \u201cEuthasol\u201d had been self-administered into the antecubital fossa. Expanded toxicological analysis via liquid chromatography\/mass spectroscopy detected caffeine, atropine, 7-aminoclonazepam, phenytoin, citalopram, and naproxen. The patient\u2019s coma resolved over 48 hours and she was successfully extubated without complication. Emergency physicians must closely monitor patients exposed to veterinary euthanasia agents who develop central nervous system and respiratory depression, hypothermia, bradycardia, hypotension, or skin injury. Consultation with a regional poison center and medical toxicologist is recommended.<\/jats:p>","DOI":"10.1155\/2016\/6270491","type":"journal-article","created":{"date-parts":[[2016,1,3]],"date-time":"2016-01-03T21:01:38Z","timestamp":1451854898000},"page":"1-4","source":"Crossref","is-referenced-by-count":6,"title":["Pentobarbital Toxicity after Self-Administration of Euthasol Veterinary Euthanasia Medication"],"prefix":"10.1155","volume":"2016","author":[{"given":"Steven Jason","family":"Crellin","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, USF MCOM, Cedar Crest Boulevard and I-78, Allentown, PA 18103, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth D.","family":"Katz","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, USF MCOM, Cedar Crest Boulevard and I-78, Allentown, PA 18103, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1552-4604.1979.tb01648.x"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.04.031"},{"issue":"779","key":"3","first-page":"116","volume":"4","year":"1971","journal-title":"British Medical Journal"},{"issue":"6","key":"4","first-page":"423","volume":"45","year":"1990","journal-title":"Cutis"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1056\/nejm197008202830807"},{"key":"6","year":"2012"},{"key":"7","year":"2007"},{"issue":"7539","key":"8","first-page":"392","volume":"1","year":"1968","journal-title":"The Lancet"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/s0379-0738(02)00420-6"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/s0196-0644(86)80681-3"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00414-015-1231-1"},{"key":"12","year":"2005"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1l186"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1081\/clt-200051867"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/00007691-198512000-00023"}],"container-title":["Case Reports in Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2016\/6270491.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2016\/6270491.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criem\/2016\/6270491.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,7,26]],"date-time":"2016-07-26T19:05:22Z","timestamp":1469559922000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criem\/2016\/6270491\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":15,"alternative-id":["6270491","6270491"],"URL":"https:\/\/doi.org\/10.1155\/2016\/6270491","relation":{},"ISSN":["2090-648X","2090-6498"],"issn-type":[{"value":"2090-648X","type":"print"},{"value":"2090-6498","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}