Authors: Emily Rashleigh, Faisal Faruqi / Editor: Mark Winstanley / Reviewer: Emily Rashleigh / Codes: MHC1, PhP1, PhP2, PhP3, SLO3, SLO7 / Published: 29/04/2022
A 45-year-old regular ED attender brought in by paramedics after being found unresponsive, GCS 11 (E2, M5 V4), in a lay-by near a local garage. The gentleman appears intoxicated. He does not smell of alcohol.
Initial VBG indicates:
pH 7.33, PaCO2 3.8, glucose 7.0, lactate 4.5, BE -5
Whilst waiting to be assessed the GCS drops to 9 and a repeat gas show
pH 7.10, Lactate 6.2, BE -12.
Module Content
Intracranial Infections
CNS infections are relatively rare, but form a very important differential diagnosis in the unwell patient presenting to the ED.
Cellulitis and Other Skin Infections
Impetigo, erysipelas, cellulitis and necrotising fasciitis represent a spectrum of soft tissue infections
Paediatric Toxicology Considerations
This module explores the presentations of children to the ED by concerned parents after a potential ingestion of a substance is common.
9 Comments
Useful in day to day practice in ED
good questions
Useful revision!!
Exam favourite. An alcoholic who doesn’t smell like alcohol
Very good revision
good revision
good case
THANK YOU, really good case,
very usefeul