In the emergency room, in the heart of
a stormy hospital environment, full of noises, cries, and shouts, a
young woman was brought by the ambulance in a critical condition. She
wasn't accompanied by relatives, and her identity papers are lacking.
She was found in public park in a
hidden corner, almost unresponsive, when a young boy saw her and
called for help.
Doctor A examined the patient. She was
stuporous , mildly feverish. Her pupils were dilated, and her blood
pressure was low.
Neurological examination showed no localized deficits.
There were no signs of trauma,
violence, or injection marks.
ECG : right axis deviation and
prolonged QT interval.
While she is in the way to the CT scan
room, she got a generalized fit.
CT scan of the brain was normal.
Doctor B asked to treat the patient
with activated charcoal. Doctor A said she must be treated with
sodium bicarbonate infusion.
Doctor C explained the necessity of
urgent hemodialysis.
Doctor D thought of gastric lavage.
What do you think? Who is right? Or do
you think there is a correct action among the mentioned?
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