A 38-year-old female presents to the ED with right shoulder pain after a fall directly onto that shoulder. She noticed immediate pain and difficulty moving the arm associated with mild tingling in her right fingers. The radiographs above were obtained in the ED (Image 1. AP and lateral radiographs of the right shoulder, author’s own images).
What is the correct antidote for a patient who is poisoned with the pictured substance?
- Digoxin Specific Fab
- Hydroxocobalamin/Sodium Thiosulfate
(photo used with permission courtesy of Maureen Dallhoff, MD)