A 33-year-old man was picked up from the street and transferred to the ED in an ambulance after he called Emergency Medical Services (EMS) from a payphone. When the emergency team rushed to the spot, they found the man in an agitated state with an altered mental status . He was paranoid and complained that people were in desperation to shoot him.
On his way to the hospital, the man became more confused and aggressive , and he was administered 8 mg of midazolam intramuscularly. A total of eight people was required to control the patient and get him into the ED on a gurney. Initial presentation Unable to provide meaningful information on the reason behind the presenting illness Denied any previous medical conditions or allergies Denied use of any prescription medicines, except methadone Admitted to cocaine use Physical Examination Extremely diaphoretic Started convulsing soon after…
