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European Journal of Internal Medicine
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    • Internal Medicine Flashcard

      Heart of ice

      European Journal of Internal Medicine
      Vol. 62e1–e2Published online: July 10, 2018
      • Fabrizio Elia
      • Michela Chiarlo
      • Andrea Verhovez
      Cited in Scopus: 0
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        A 41-year-old man was found unresponsive at home. On arrival, the air Ambulance team reported Glasgow Coma Scale 5 (E1V1M3), myosis, afinalistic movements and cold skin (28 °C). Blood glucose levels were normal. A history of recent drug and alcohol abuse was reported by friends around. Naloxone and Flumazenil administration was ineffective; intravenous fluids were administered and orotracheal intubation was performed. On admission to the hospital the vital signs were stable and the patient was quickly extubated.
        Heart of ice
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