Play with fire and you might get more than burned
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Question 1 of 3
1. Question
Given the above presentation what is the most appropriate first investigation?
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Question 2 of 3
2. Question
An ABG is performed. This shows the following:
- pH 7.1
- pO2 15 kPa
- pCO2 5 kPa
- BE -9
- HbCO 5%
- Lactate 15 mmol/L
It also shows a raised anion gap.
What is the most likely cause of the patient’s presentation?
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Question 3 of 3
3. Question
Given the likely cause of this patient’s presentation what is the most appropriate initial management?
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Useful case but both cyanide and ethylene glycol could be the diagnosis here. The patient was in no position to give a history.