A 60-year-old man known to your ED with alcoholism presents
to your ED. He is confused, agitated, diaphoretic and ataxic. At Triage, his
vital signs are HR 120/min, BP 140/90 mmHg, RR 24/min, SAO2 95% on RA, Temp
37.5°C.

On examination, he is disorientated, appears to be
distracted by the surroundings. He is tremulous, hyperreflexic and appears to
be extremely anxious. You can smell alcohol on his breath.

On review of his history on the eMR, you note that he has
had alcohol withdrawal seizures. Your assessment is that he has delirium due to
alcohol withdrawal.

Question:
Which of the following treatments has the highest priority?

Question

A 60-year-old man known to your ED with alcoholism presents
    to your ED. He is confused, agitated, diaphoretic and ataxic. At Triage, his
    vital signs are HR 120/min, BP 140/90 mmHg, RR 24/min, SAO2 95% on RA, Temp
    37.5°C.

On examination, he is disorientated, appears to be
    distracted by the surroundings. He is tremulous, hyperreflexic and appears to
    be extremely anxious. You can smell alcohol on his breath.

On review of his history on the eMR, you note that he has
    had alcohol withdrawal seizures. Your assessment is that he has delirium due to
    alcohol withdrawal.

Question: 
 Which of the following treatments has the highest priority?

Accepted Answer

Start
oral benzodiazepines to prevent a seizure

Answer

Prescribe
high dose thiamine to prevent encephalopathy

Answer

Review
his vital signs within 30 mins

Answer

Check
his person for alcohol

Answer

Provide
him with food to prevent hypoglycaemia

Crowdly

A 60-year-old man known to your ED with alcoholism presents to your ED. He i...

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