Kiwiology Posted January 25, 2008 Share Posted January 25, 2008 I'm thinking a complete tox workup on this guy. If naloxone didn't work maybe some charcol? Guessing he's either diabetic or has some form of poisoning. Link to comment Share on other sites More sharing options...
firedoc5 Posted January 28, 2008 Share Posted January 28, 2008 I'd go with what zzyzx mentioned, CVA. But with a combination of alcohol, or other substance. Maybe it was just with the program I was under but, Narcan was always at least 2mg. IV. 0.8mg. may have been a little low. Julian, Narcan had always worked with me whether it was hydrochlorate (a mickey) or Rohypnol. I never had Narcan fail in the field, along with the D50. Link to comment Share on other sites More sharing options...
hammerpcp Posted January 29, 2008 Share Posted January 29, 2008 Julian, Narcan had always worked with me whether it was hydrochlorate (a mickey) or Rohypnol. I never had Narcan fail in the field, along with the D50. Why would you give narcan for Rohypnol? I wouldnt expect it to have any effect seeing as it is an opiod antagonist. EDIT: I forgot to say anything about the pt. Why does he have water on the brain? Is he perhaps an alcoholic? Maybe a little thiamine and dextrose will do him some good. Link to comment Share on other sites More sharing options...
Happiness Posted January 29, 2008 Share Posted January 29, 2008 I would have looked in the cart Link to comment Share on other sites More sharing options...
firedoc5 Posted January 29, 2008 Share Posted January 29, 2008 Why would you give narcan for Rohypnol? I wouldn't expect it to have any effect seeing as it is an opiod antagonist. EDIT: I forgot to say anything about the pt. Why does he have water on the brain? Is he perhaps an alcoholic? Maybe a little thiamine and dextrose will do him some good. I'm sorry, I was meaning to say that whether it was hydrochlorate or Rohypnol or anything unkown, we'd always give it. If it works, then great. But if it doesn't, it won't hurt anything. Sort of like covering all your bases. Clear as mud? Link to comment Share on other sites More sharing options...
AnthonyM83 Posted January 29, 2008 Share Posted January 29, 2008 Did we get skin signs? Temp? I remember one of the docs here saying all unknown AMS get Finger Stick, Pulse Ox, and (Rectal) Temp Link to comment Share on other sites More sharing options...
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