A 34 year old male with a medical history of hypertension, hyperlipidemia and chronic liver injury secondary to alcohol abuse presented to the emergency department with diffuse abdominal pain and more than 30 episodes of vomiting over the past 12 hours. The patient admitted to increased alcohol intake over the past two days, however stated …
Poisonings with methanol, ethylene glycol, and isopropanol often present the emergency physician with major diagnostic challenges: The identity of the ingested substance is frequently a mystery on presentation. Patients with an intentional ingestion, either for recreation or with suicidal intent, may be less than forthcoming. Young patients may not be able to identify the substance. Patients may be …
In the ED we are often concerned about the pH, CO2 level, and oxygen saturation of patients. How does one determine whether to get a venous blood gas (VBG) or arterial blood gas (ABG)? ABGs are typically seen as the “gold standard” for evaluating pH, PaCO2, and HCO3 but in certain situations VBGs are a …
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