Lab Case 155

A 6 year old is brought in by ambulance on a P1 due to a GCS of 9.

Mum found him on the floor of the lounge unresponsive. She thinks he was quite stiff at the time and had urinated. She did not witness any jerky movements.

He was unwell for 2-3 days with a cough, runny nose and fevers, saw the GP today and was prescribed amoxicillin.

On arrival:


T  37.2

HR  125/min

BP 120/80Describe your approach on arrival

His blood tests:

Na  129 mmol/l

K  3.3 mmol/l

Lactate  5.3 mmol/l

Hb  121  g/l

Plt  277

WCC  39.0

N  35.9

Anything more you would do?