39M brought in by EMS, found unconscious/unresponsive on a street corner, no response to narcan. He kept clenching when EMS attempted to intubate, for which they gave him versed (probably 5mg IM) which did nothing. He arrives...
N: GCS 3, pupils 6mm, non reactive
CV: HR 160-190, BP 50s/30s on scene, 70/40s on arrival
P: poor insp effort, not protecting his own airway, RSI on arrival
GI: 500ml green nonbilious output via OG (slushy... or listerine?)
GU: 130-150ml uop after 3L chilled crystalloid, Tcore 41.9 (!). Utox (-)
MSK: Gastroc clonus before rsi and sedation
ENDO: FSBG 143
ID: urine was clean, cxr was clean, no stool, no murmur, no wounds. I think Tylenol finally broke the temp.
Initial lactate was 16, 3.5 after fluids. Everything else was surprisingly unremarkable. He was on CRRT last I saw.