CAUTION: THESE NOTES CONTAIN SPOILERS!!

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)