A young man in his thirties, well built came with intense pain abdomen. He was restless and was throwing his arms up. When he landed in the ICCU bed, he was totally unconscious, stuporous and unresponsive. BP::130/80,HR:90/mt. Systemic examination: NAD.RBS was 102mg percent. ECG was perfectly normal.
His saturation was 100 percent without oxygen. Relatives were unwilling to shift to a higher centre. My senior consultants advised me to refer the case immediately as they felt it was a case of unknown substance ingestion. Somehow I managed to convince the relatives and they agreed. To my utter shock, I came to know that the patient collapsed within half an hour after reaching the tertiary centre. The ECG there showed a massive anterior wall MI.He had succumbed to a cardiac arrest.Although guidelines dictate that ECG should be repeated hourly and changes could appear subsequently, we…
