Tis the season ….

Authors: Emily Rashleigh, Faisal Faruqi / Editor: Mark Winstanley / Reviewer: Emily Rashleigh / Codes:  / 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.

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