History: A 39 year old highly functioning professional female is brought to ED complaining of abdominal pain and nausea. She has a VBG performed. pH 7.29 Na 138 mmol/L pCO2 28 K 1.4 mmol/L pO2 51 Cl 111 mmol/L HCO3
STEM: A 16yr old female presented to the emergency department at 0100 after taking an overdose of paracetamol. She is normally fit and well with no past medical history. She is alert and looks well, with normal vital signs. She has taken
History: A 42yr female was brought to ED as a priority 1 trauma after she was found on the floor at home. History of alcohol abuse drinking at least 2 bottles of wine per day. GCS12 (E3 V4 M5), confused.
History: An obese 57yr male presented with a deliberate self-harm attempt of 5 days’ worth of his blister pack medications at 10pm.= Total doses ingested shown below: Perindopril 20mg Metformin 15g Allopurinol 1500mg Sodium Valproate 10g Zopiclone 37.5mg Thyroxine 250mcg
History: A 64 year old male was brought in by ambulance after his friend called them. He was unconscious in the park, is a known IV drug user and has had recurrent ED presentations with drug intoxication. He was intubated
STEM: A 26 year old male presented to ED at 0730 with abdominal pain and vomiting. He took 100 tablets of 500mg paracetamol at 2230 the night before. He is normally fit and well, drinks regular alcohol and uses meth
History: A 45yr alcoholic female with epilepsy, previous traumatic head injury and T2DM presented to ED following a syncopal episode and a fall onto her face. PMH: depression, PTSD and agoraphobia. On sertraline and carbamazepine. pH 7.55 Na 130 mmol/L
STEM: A 30yr old female presented with some epigastric pain. She has been taking paracetamol for a painful foot for the last 3 days. In the last 48 hours she has taken 14g of paracetamol, 9g were within the last