08.01.2021 - By Zack Olson, MD and Michael Estephan, MD
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)