Restraint Asphyxia Near-Death Case Study
TOXICOLOGICAL FINDINGS
All records regarding this patient's ED course of examination, treatment, and findings - in addition to his brief in-hospital stay - were originally obtained with permission of the receiving hospital. All identifying references to the actual patient have been redacted (deleted), to preserve patient confidentiality.
LAB / TOXICOLOGICAL FINDINGS:
The prehospital blood samples revealed the following results:
CBC:
- HCT 53.7
- HGB 17.7
- WBC 12.9
- PLTS 255
SMA 7:
- NA 149
- K+ 4.1
- CO2 14
- CL 102
- BUN 13
- CR 1.1
- GLU 129
TOX SCREEN:
- ETOH (alcohol - 3 types!) = negative
- SALICYLATES (aspirin) & ACETAMINOPHEN ("Tylenol") = negative
- COCAINE = negative
- NARCOTICS, BARBITURATES, BENZODIAZEPINES = negative
- METHAMPHETAMINES = negative
- HALLUCINOGENS (other than THC and "other" below) & PCP = negative
- LIDOCAINE = positive (likely from the gel used to prep his nare for intubation)
- CAFFEINE = positive
- THC (marijuana) = positive
- "OTHER" = positive (according to my physician-interpreter, this is likely the "mushrooms" the patient admitted to taking)
ED UA:
- RBC 5-10
- WBC 5-10
- BACT negative
- GLUCOSE 500
- PROTEIN 100
ED ABG: 7.25 / 38 / 169 / 16 / -10 / 99%
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