Saturdays are almost always good for the intoxicated members of society to stop off and visit the local ER. Now sometimes there is a traumatic event that leads to them landing themselves on a stretcher and other times it's their recreational usage that catches up with them, and often it is their the fear of death, that prompts them seeking treatment. Last night had its share of both.
First there was the very drunk guy who fell off of "something" leading to two enormous lacerations one on his scalp and on his the side of his forehead. I have a bit of sympathy for this poor fool because not only is he going to wake up with a hell of a hangover he is going to have the pain from that fall to contend with after the alcohol wears off.
The second of my drunks was an odd little man who was rushed into the ER from triage with a description of epigastric and midsternal pain. His blood pressure was 158/117. I started a line sent off labs and got an EKG. He had some peaked T waves. His labs came back the trop was negative and his K+ was fine. His AST and ALT well that was a different story. Neither of which should ever be 1145 and 770.
This little odd man denied drinking for 3 days to 4 different staff members. After the results of his chemistry and blood alcohol (345) he was approached by the provider for a chat. And yet he continued to deny drinking... except for a sip... That must have been a hell of a sip.
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