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Round 18 (MW) – Intoxication

Author
Zack Olson, MD and Michael Estephan, MD
Published
Fri 01 Mar 2024
Episode Link
https://www.emclerkship.com/2024/03/01/round-18-mw-drunk-man-wants-pizza/




You are working at Clerkship General when you hear an EMS call on the radio. Clerkship General, we are bringing you Arthur. He is intoxicated… Again











Initial Vitals:











HR: 116











BP: 150/70











Temp: 98.8











RR: 26











O2: 85% (Room Air)











Critical Actions:














* Recognize Hypoxemia











* Diagnose Toxic Alcohol Ingestion











* Consult Nephrology Emergent Dialysis











* Administer Fomepizole











* Workup Anion Gap Metabolic Acidosis



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