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Discussion

Don't know how this guy lived

Just have to share this one, it's too crazy to not... 20yo male college student arrived in police custody by police cruiser, local campus PD on a domestic violence charge. Moderately disoriented to place/situation and intermittently unconscious at times, but easily rousable and obeyed commands for the most part. Some obvious evidence of IVDU, ended up finding a fairly impressive site infection.

BP 66/palp manual, HR 133, lactic 2.9mmol/l... UA returned with positive for benzo, opiate, etoh. Labs came back... ETOH 0.73, blood glucose 16mg/dl... extended tox panel showed +ketamine too... somehow this guy was conscious enough to do a domestic battery

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This blows my mind.  If he hadn't been picked up by the cops he would have been dead by morning.

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