Me and my colleagues had a nice crack about this patient that we admitted that was initially diagnosed as an Acute Stroke but by the end of the night, we and our doctor concluded that he just had an Alcohol Induced Coma!
It was so funny because he was brought in a different hospital initially by his sons because apparently he was unconscious, so in that hospital they had to intubate him and transferred here in DHC. The initial report that I got from EMS (I was in charge last night) was that they were querying that he had a stroke and that they were going to bring him to CT first before transferring to ICU. When he came, my colleague who is Irish, already smelled alcohol in him and she brought it up with our ward physician who in turn ordered alcohol level and not so much to our surprise, his alcohol level was like 286! After about half an hour, he started to wake up so we had to sedate and restrain him to avoid self-extubation. But his blood pressure was on the low side so we cannot give him that much propofol. Anyways, when he woke up, he was like so surprised of what has happened to him (intubated, tied up in bed and all) that he was like motioning to the doctor, asking what is this thing hanging out of his mouth and stuff and so the doctor had to explain that he’s in the hospital. We were laughing our heads off and betting that after this, he won’t even touch a bottle of whatever he was drinking!
Imagine, being so drunk and passing out and suddenly waking up tied up in a bed with a tube hanging out of your mouth, would you even dare to taste or even touch a liquor?! We ended up extubating him in the wee hours of the morning and I was able to talk to him and my gosh! The smell of alcohol in his breath, could have lead me to a coma!
Me and my colleagues had a nice crack about this patient that we admitted that was initially diagnosed as an Acute Stroke but by the end of the night, we and our doctor concluded that he just had an Alcohol Induced Coma!
It was so funny because he was brought in a different hospital initially by his sons because apparently he was unconscious, so in that hospital they had to intubate him and transferred here in DHC. The initial report that I got from EMS (I was in charge last night) was that they were querying that he had a stroke and that they were going to bring him to CT first before transferring to ICU. When he came, my colleague who is Irish, already smelled alcohol in him and she brought it up with our ward physician who in turn ordered alcohol level and not so much to our surprise, his alcohol level was like 286! After about half an hour, he started to wake up so we had to sedate and restrain him to avoid self-extubation. But his blood pressure was on the low side so we cannot give him that much propofol. Anyways, when he woke up, he was like so surprised of what has happened to him (intubated, tied up in bed and all) that he was like motioning to the doctor, asking what is this thing hanging out of his mouth and stuff and so the doctor had to explain that he’s in the hospital. We were laughing our heads off and betting that after this, he won’t even touch a bottle of whatever he was drinking!
Imagine, being so drunk and passing out and suddenly waking up tied up in a bed with a tube hanging out of your mouth, would you even dare to taste or even touch a liquor?! We ended up extubating him in the wee hours of the morning and I was able to talk to him and my gosh! The smell of alcohol in his breath, could have lead me to a coma!
Me and my colleagues had a nice crack about this patient that we admitted that was initially diagnosed as an Acute Stroke but by the end of the night, we and our doctor concluded that he just had an Alcohol Induced Coma!
It was so funny because he was brought in a different hospital initially by his sons because apparently he was unconscious, so in that hospital they had to intubate him and transferred here in DHC. The initial report that I got from EMS (I was in charge last night) was that they were querying that he had a stroke and that they were going to bring him to CT first before transferring to ICU. When he came, my colleague who is Irish, already smelled alcohol in him and she brought it up with our ward physician who in turn ordered alcohol level and not so much to our surprise, his alcohol level was like 286! After about half an hour, he started to wake up so we had to sedate and restrain him to avoid self-extubation. But his blood pressure was on the low side so we cannot give him that much propofol. Anyways, when he woke up, he was like so surprised of what has happened to him (intubated, tied up in bed and all) that he was like motioning to the doctor, asking what is this thing hanging out of his mouth and stuff and so the doctor had to explain that he’s in the hospital. We were laughing our heads off and betting that after this, he won’t even touch a bottle of whatever he was drinking!
Imagine, being so drunk and passing out and suddenly waking up tied up in a bed with a tube hanging out of your mouth, would you even dare to taste or even touch a liquor?! We ended up extubating him in the wee hours of the morning and I was able to talk to him and my gosh! The smell of alcohol in his breath, could have lead me to a coma!
Me and my colleagues had a nice crack about this patient that we admitted that was initially diagnosed as an Acute Stroke but by the end of the night, we and our doctor concluded that he just had an Alcohol Induced Coma!
It was so funny because he was brought in a different hospital initially by his sons because apparently he was unconscious, so in that hospital they had to intubate him and transferred here in DHC. The initial report that I got from EMS (I was in charge last night) was that they were querying that he had a stroke and that they were going to bring him to CT first before transferring to ICU. When he came, my colleague who is Irish, already smelled alcohol in him and she brought it up with our ward physician who in turn ordered alcohol level and not so much to our surprise, his alcohol level was like 286! After about half an hour, he started to wake up so we had to sedate and restrain him to avoid self-extubation. But his blood pressure was on the low side so we cannot give him that much propofol. Anyways, when he woke up, he was like so surprised of what has happened to him (intubated, tied up in bed and all) that he was like motioning to the doctor, asking what is this thing hanging out of his mouth and stuff and so the doctor had to explain that he’s in the hospital. We were laughing our heads off and betting that after this, he won’t even touch a bottle of whatever he was drinking!
Imagine, being so drunk and passing out and suddenly waking up tied up in a bed with a tube hanging out of your mouth, would you even dare to taste or even touch a liquor?! We ended up extubating him in the wee hours of the morning and I was able to talk to him and my gosh! The smell of alcohol in his breath, could have lead me to a coma!
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