VBG of the week 14 May 25

The following patient was found collapsed outside a warehouse. What is his diagnosis and management?

ph            7.26
pCo2            49
pO2             22
HCO3            22
Base Xs         -5
Sample type: Venous

Na             146
K              4.1
Cl             112
IonCa          1.1
Creatinine      88
Hb             137

Glucose        5.9
Lactate        3.8

Carboxy Hb     0.7
Met Hb         42.2

ECG of the week Tox Roadshow 9/4/25

This weeks ECG is from a 50yr old patient who has taken a large polypharmacy OD. Your team is working on gaining collateral to establish what has been taken. In the meantime the patient is agitated, but your excellent resus nurse manages to obtain this ECG:

What are your immediate management priorities?