Annals of Emergency Medicine
Volume 19, Issue 3 , Pages 319-321, March 1990

The diagnostic utility of flumazenil (A benzodiazepine antagonist) in coma of unknown etiology

    MD, FACEP
  • Keith K Burkhart
  • , MD, FACEP
  • Kenneth W Kulig

      Affiliations

    • Corresponding Author InformationAddress for reprints: Kenneth W Kulig, MD, FACEP, Rocky Mountain Poison and Drug Center, 645 Bannock Street, Denver, Colorado 80204-4507.

Received 28 July 1989; accepted 23 August 1989.

The use of flumazenil, a benzodiazepine antagonist, was studied in two patients with coma of unknown etiology. One patient ingested 20.5 mg alprazolam before crashing his truck into parked automobiles. The patient was awakened by flumazenil administration, and the severity of his injuries was evaluated reliably. A second patient ingested 7.5 mg triazolam and attempted suicide with carbon monoxide from car exhaust. His coma resolved completely after the administration of the double-blind study drug, obviating treatment with hyperbaric oxygen. Flumazenil had a clear diagnostic and therapeutic role in the treatment of these patients and should be a useful tool for emergency physicians and toxicologists.

flumazenil, coma

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 Dr Burkhart's fellowship at the Rocky Mountain Poison and Drug Center was supported by a grant from Smith, Kline and French Laboratories.

PII: S0196-0644(05)82054-2

Annals of Emergency Medicine
Volume 19, Issue 3 , Pages 319-321, March 1990