BAP16

You guys called it. Tests came back positive for opioids and she apparently responded well to treatment. They intubated to secure her airway. After she was extubated and came back to her wits, she was adamant that someone must have drugged her because she had only one drink and has never done drugs. I've never heard of opiods being used for date rape, but slipping random pain pills into a drink seems like a college kid thing to do. Anyone else seen this?

Hi sailornurse, thanks for the welcome. I know you can't give advice. I've been reading for a long time, but haven't had a real question until now. I am no longer at work and not treating the pt so was more curious what would happen in different places for this situation. I'm still new in the ed so I haven't seen it yet.

Female 21yo of average height and weight brought into ED with diminished level of conscious (responded to sternum rub), vomiting, confusion, low bp, low ox level, and bradycardia. Friend who brought her in claimed she had one drink at a bar then told him something was wrong. He brought her in after she began losing consciousness. Based on symptoms and history, we narrowed it down to alcohol intoxication, drug overdose, or a head injury. I got off my ed shift before a diagnosis was made, so I'll update below once I can find out tomorrow. What would your protocols be in a case like this? When a pt is brought in with unknown loc? Stabilize and treat for drugs and alcohol overdose and run tests for head injury?