Wednesday Jul 27, 2022
Episode 1 - Beyond The Toxidrome
Male in his 20's in the early morning hours unconscious. Upon arrival the patients father came home and found his son unconscious on the living room floor. House is not in disarray, no trauma is noted to the patient, and nothing around the patient. Father states he has no diagnosed medical history, no Rx meds, however years ago the patient struggled with cocaine abuse. Despite such his understanding is the patient has been cocaine free for the last 8 months. States it would be unlikely for him to consume excessive alcohol, no other Rx or recreational drug use, and the fathers Rx meds are all accounted for.
GCS 3, flushed, sweaty
HR 128 Reg, RR shallow 22, SPO2 88% ra, BGL 7.2, 82/54, T37.5C, Pupils sluggish at 4-5mm.
Prehospital 12-Lead ECG here:
If the 12-Lead is not showing properly you can click HERE to open it up in a browser window.
delusions / paranoia / tachycardia / hypertension / hypotension (severe) / hyperthermia / sweating / piloerection / mydriasis / hyperreflexia / seizures
Useful Links (will open in separate browser windows):
Internet Book of Critical Care - Sodium Channel Blocker Toxicity
Internet Book of Critical Care - Sympathomimetic intoxication
StatPearls - Cocaine Toxicity
Medscape - Cocaine Toxicity (free registration required)
Life in the Fast Lane - Cocaine Toxicity
To leave or reply to comments, please download free Podbean or
To leave or reply to comments,
please download free Podbean App.