32 F – presents with AMS. EMS reports neighbors smelled gas and called 911. They found patient unresponsive (? Sleeping) initially in the apt. Patient doesn’t remember these events but does recall that she is staying at a friends and had a few drinks earlier in the night mixed with 1 Xanax. nd isn’t sure how the gas got turned on. Vitals stable. Physical exam aside from being confused about events unremarkable.
Labs: alcohol (271), ASA (wnl), Tylenol (wnl)
Initial VBG: pH 7.34, PCO2 55, PO2 40 lactate 1.5
EKG- NSR 79, no STT changes. Incomplete RBBB. Flattening T waves laterally