Round 24 (Altered Mental Status)

CAUTION: THESE NOTES CONTAIN SPOILERS!!











Case Introduction











You are working a shift at EM Clerkship General when you receive a radio call from EMS who are bringing in a young female who was found unresponsive.











Initial Vitals











* Temp 98.0F* HR 97* RR 16* BP 120/80* O2 98%











Critical Actions











* Obtain collateral history from EMS/friends* Administer Naloxone as needed for respiratory depression* Obtain 0-hour and 4-hour acetaminophen levels* Administer N-acetyl-cystine * Obtain psychiatry consult for suicidal ideation











Further Reading











Acetaminophen Toxicity (EMCrit)