The following Sackler911 poll is now closed. Here are the
final results:
POLL QUESTION: A 19-year-old man is brought to the ED by EMS after he was found
lying on the floor at a dance club. EMS states that the patient seemed
unconscious at the dance club but as soon as they transferred him onto the
gurney he became combative. Upon arrival in the ED, his blood pressure is 120/65
mm Hg, heart rate is 75 beats per minute, temperature is 98.9°F, respiratory
rate is 12 breaths per minute, and oxygen saturation is 98% on room air. On
physical exam, his pupils are mid-sized, equal and reactive to light. His skin
is warm and dry. Lung, cardiac, and abdominal exam are unremarkable. As you walk
away from the bedside, you here the monitor alarm signaling zero respirations
and the oxygen saturation starts to drop. You perform a sternal rub and the
patient sits up in bed and starts yelling at you. As you leave him for the
second time, you hear the monitor alarm again signal zero respirations. You
administer naloxone, but there is no change in his condition. Which of the
following is most likely the substance ingested by this patient?
CHOICES AND RESULTS
- gamma-hydroxybutyrate (GHB), 2 votes, 20.00%
- Diazepam, 1 votes, 10.00%
- Cocaine, 0 votes, 0.00%
- Phencyclidine (PCP), 6 votes, 60.00%
- Heroin, 1 votes, 10.00%
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