Round 18 (MW) Drunk Man Wants Pizza EM Clerkship

You are working at Clerkship General when you hear an EMS call on the radio. Clerkship General, we are bringing you Arthur. He is intoxicated… Again







Initial Vitals:







HR: 116







BP: 150/70







Temp: 98.8







RR: 26







O2: 85% (Room Air)







Critical Actions:









* Recognize Hypoxemia







* Diagnose Toxic Alcohol Ingestion







* Consult Nephrology Emergent Dialysis







* Administer Fomepizole







* Workup Anion Gap Metabolic Acidosis