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Shum S, Seale C, Hathaway D, Chucovich V, Beard D. 
“Acute caffeine ingestion fatalities: management issues”. 
Vet Hum Toxicol. 1997 Aug 04;39(4):228-30.
Abstract
Caffeine is used and abused on a daily basis in different beverages, OTC products, and as a prescribed medication. The strength varies widely from negligible in decaffeinated drinks to medicinal grade of 200 mg/tablet. A total of 7,655 exposures were recorded in 1995 by the AAPCC Toxic Exposure Surveillance System with no fatality. However, within a 4-mo period, the Panhandle Poison Center recorded 2 deaths due to caffeine overdose. The abrupt onset of intractable seizures needs to be anticipated in order to appropriately manage the victims and to prevent the adverse outcome.
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