Round 18 (MW) Drunk Man Wants Pizza

EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD

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Education

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