Author: Fraser Magee / Editor: Fraser Magee / Reviewer: John Wilson / Codes: GC1, GP9, MHC1, SLO1, SLO3 / Published: 20/07/2023
A 56-year-old man presents to the Emergency Department (ED) 48 hours following an alcohol binge with chest pain and dyspnoea.
He had normal observations on arrival, ECG shows no evidence of ischaemia. He becomes comfortable after administration of analgesia. Venous blood gas on presentation shows a pH of 7.31, pCO2 of 2.4, lactate of 1.3, BE -15.1 and bicarbonate of 13.1.
21 responses
Was helpful. short and sweet one.
to the point and very helpful
Concise with good updates to older teachings
Good update
useful and practical
GOOD BASICSFOR AKA
excellent presentation
good presentation
Very helpful
Useful update re: thiamine and carbohydrates / iv glucose. Pabrinex still has thimaine inthe first bottle and glucose in the second 🙂 But in future, I think I would start them simultaneously, given this teaching.
Recently I’ve taught in medical myths and stressed a lot on this topic. Just give dextrose if you find hypoglycaemia and not wait to give Thiamine first in alcoholic patient
Complicated subject and not easy to diagnose.
Really useful short session
Very interesting topic.
Quick and helpful
very useful topic
useful short session
Nice one
Nice case
short and great
good teaching. my knowledge of this was previously very limited