Journal of Anaesthesia & Critical Care Case Reports

Vol 5 | Issue 3 | Sep-Dec 2019 | page: 28-30  | Mohammed Alageel

Authors: Mohammed Alageel [1]

Address of Correspondence

Dr. Mohammed Alageel,
King Khalid University Hospital, emergency medicine
Email: moe.alageel@gmail.com
1 Department of emergency medicine, King Khalid University Hospital, Riyadh SA
2 Department of Emergency Medicine, Vancouver, BC, CA

Background: Patients presenting with altered level of conciseness are a part of everyday practice in the emergency department. With many presentations due to structural, organic and psychiatric causes. Drug intoxication is a common precipitant of altered mentation with mixed and unknown overdoses posing a unique challenge. The astute emergency physician endeavors to identify the culprit agent, as some agents have specific antidotes that alter patients’ outcomes, while others can have an expected course of general medical support till resolution.
Objectives: In our case report we discuss a patient presenting with altered level of conciseness, from a likely mixed ingestion that does not demonstrate expected recovery and the clues that suggest an alternative toxin. We as well briefly discuss the diagnostic approach and evidence of treatment modalities of this intoxication. We also shed light on a potential new source of drug intoxication in communities.
Methods: A single descriptive case report with a search of Medline, Pubmed for similar cases of which two similar cases have been reported [i, ii]
Keywords: Coma, Altered level of consciousness, Barbiturates, Overdose, Phenobarbital, Emergency Department (ED), Intensive Care unit, Veterinary

References

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