Horrible situation.
High flow oxygen.
IV access
IV fluids
Check Blood Glucose and ABGs
IV lorazepam 2mg increments to max 8mg
If stops fitting and improving ecg, cxr, bloods etc
If stops fitting and completely flat, laryngoscopy and tube if no airway
reflexes
If continues fitting or remains flat with airway reflexes, RSI with
etomidate and Sux, ventilate and do remainder of tests.
think about CT at some point (within 4 hours or so?) but not urgent if story
of OD confirmed and not being transferred to another hospital for ITU. If
being transferred should be done prior to transfer
Temp may be due to E or Speed and would not need dantrolene unless goes
above 40C.
Admit ITU
Phil Munro
A&E, Glasgow
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