Multiple cardiac arrests following an overdose of caffeine complicated by penetrating trauma.

A 28-year-old man was admitted following a massive caffeine overdose and a self inflicted gunshot wound in an apparent suicide attempt. Although initially stable on admission, he subsequently suffered multiple cardiac arrests and generalised seizures within 23 h of admission; over the next 48 h, he developed rhabdomyolysis. The importance of early management in caffeine overdose is highlighted.