PODCAST: Altered Mental Status

Case Introduction

You are working a shift at EM Clerkship General when you receive a radio call from EMS who are bringing in a young female who was found unresponsive.

Initial Vitals

Temp 98.0F

HR 97

RR 16

BP 120/80

O2 98%

Critical Actions

Obtain collateral history from EMS/friends

Administer Naloxone as needed for respiratory depression

Obtain 0-hour and 4-hour acetaminophen levels

Administer N-acetyl-cystine

Obtain psychiatry consult for suicidal ideation

Further Reading

Acetaminophen Toxicity (EMCrit)

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