case

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Lee

For us non-Americans could you clarify the acronyms please?

Thanks
Alan

Dr Alan Howard B.Sc. MB.Ch.B Dip(PEC)(SA)
Senior Emergency Medical Evacuation Consultant
International SOS Medical Clinic
32, Kommunistichesky prospect, Office 19
Yuzhno-Sakhalinsk, 693000
Russia
Phone:   +7 4242 72 75 50
Fax:       +7 4242 72 86 71     
Mobile:  +7 4242 47 49 11
alan.howard at isos.sakhalin.su


-----Original Message-----
From: Lee Reed [mailto:creedyrniam at sbcglobal.net] 
Sent: Saturday, June 25, 2005 7:47 PM
To: trauma-list at trauma.org
Subject: case

27 year old AAm brought in by police and EMS, who state use of 'wet;...pt is tachycardic and hypotensive upon arrival, but AOX3...tox is only positive for marijuiana, alcohol negative....pt sleeps, is given banana bag...continues to  be arousable...initial labs show rhabdo, not uncommon with wet...draw repeat labs, and all of a sudden patient codes...repeat chest pain panel drawn just prior to arrest comes back higher than inital...patient ends up dying...autopsy shows nothing abnormal, still awaiting extensive tox screen...we had thought that perhaps there was underlying cardiac abnormality, but that was ruled out....question is mostly to those in major urban centers...what the hell do you think happened here?  my guess is GHB or other designer drug...
Lee

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