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You are working at Clerkship General when you hear an EMS call on the radio. Clerkship General, we are bringing you Arthur. He is intoxicated… Again

Initial Vitals:

HR: 116

BP: 150/70

Temp: 98.8

RR: 26

O2: 85% (Room Air)

Critical Actions:

  1. Recognize Hypoxemia
  2. Diagnose Toxic Alcohol Ingestion
  3. Consult Nephrology Emergent Dialysis
  4. Administer Fomepizole
  5. Workup Anion Gap Metabolic Acidosis