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DIFF.B
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1987-08-09
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1KB
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172 lines
"March 9"
"03:24"
" "
"The patient is a 39 year-old"
"ex-convict who weighs 64 kg."
"He was found in the bushes after a"
"drunken party. A pulse was felt at"
"the scene. There are needle tracks"
"on the arms. His girl friend says"
"that he takes antabuse off and on."
"He has been seen in the E.R. for"
"chest pain in the past. He seems"
"rather stiff. Pupils are small."
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3870
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"This guy's been in the bushes for"
"who-knows-how-long on a cool March"
"night. Alcohol and IV narcotics have"
"further contributed to hypothermia."
"No MI--the chest pain was narcotic"
"seeking. The cold results in both"
"irritability and bradycardia/block."
"Try to stabilize the rhythm briefly,"
"but make the diagnoses early. Prompt"
"naloxone and warming will save him."