@article{ref1,
title="Taking a breather from pulmonary aspiration and a multidrug ingestion",
journal="Clinical pediatrics",
year="2023",
author="Carmona, Carlos A. Jr and Miller Ferguson, Nikki",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="After consent was obtained by the patient's father, we drafted this report for Resident Rounds.  A previously healthy teenage male, with increasing depression the previous 6 months, presented to our institution's pediatric intensive care unit (PICU) after a mixed overdose. He was last seen well by his sister on 2/8/22 at 23:00. His father found him unconscious (face down and covered in vomitus on 2/9 at 03:00 without any intravenous drug paraphernalia). The patient was taken to the closest emergency department where his initial vitals were 187/75, heart rate (HR) 137, respiratory rate (RR) ~40, O2 87% on nonrebreather, and a glascow comma scale (GCS) of 3. Head computed tomography (CT) was negative for acute intracranial abnormality. Exam was notable for fixed and dilated pupils to 6 mm; no cough or gag. He was promptly intubated for airway protection and low GCS. Arterial blood gas (ABG) was 7.04/49/137/14/-17 demonstrating a primary metabolic acidosis with a secondary respiratory acidosis. Other pertinent labs were blood urea nitrogen (BUN) 13, creatinine (Cr) 1.21, K 4.1, Gluc 358. He did not receive activated charcoal, and furthermore oral ingestion was the presumed mechanism of action as evidenced by elevated drug levels obtained in the PICU admission. ...<p /> <p>Language: en</p>",
language="en",
issn="0009-9228",
doi="10.1177/00099228231221341",
url="http://dx.doi.org/10.1177/00099228231221341"
}