A 60 year old male is brought to your Emergency Department by ambulance. On scene he was found with a GCS 12 and a BSL of 2.

On route he received 50mls of 50% dextrose ivi. He was vomiting profusely.

The history obtained from family (by paramedics) was that the patient was on a three day alcohol bender, which was not unusual. He was not english speaking. There was a history of malaena and oesophageal varices in the past.

He complained of Thoracic back pain and weakness

On examination

Vitals: GCS 15                   BP 100/50             PR 120/min

T 35.8                     RR 18/min              O2 sats 99% RA

Describe and Interpret the following venous blood gas and results Continue reading →