A 26-year-old man with a sudden and acute onset of altered mental status was brought to the ED by the paramedics from his work place. The coworkers reported that they did not notice any changes in the man when he came to the office in the morning; however, around noon, they found him to be slumping in his chair.
Upon intervention, the young man was found to be in a minimally responsive state and an open, unlabelled box of pills was found on his desk. Further information about the man as acquired by the paramedics Chronic back pain (as reported by the coworkers) Committing disciplinary problems at work lately Not wearing any medical alert bracelets Pill box contained various types of pills in varying amounts Unable to give reply to any questions Physical Examination Oral temperature: 96.5°F Heart with a regular rhythm Heart rate: 96 beats/min Blood pressure: 134/76 mm Hg Respiratory…
