Abstract
This case reflects the difficulties arising out of the patients autonomy to choose the type, timing, and extent of the medical management even though in some clinical scenarios, like the case presented, the patient was not able to communicate his physiological needs for a safe and protected shelter from the extreme weather, and was unable to follow up with the medical plan offered at the emergency room during each of his prior visits before the catastrophic event of unwitnessed hypoglycemic seizure and severe hypothermia.
Highlights
A middle aged male was admitted as John Doe by emergency medical services when he was found slumped at a curb by police
Rau1 1Department of Internal Medicine, 2Department of Anesthesiology, Wayne State University/Detroit Medical Center, Detroit, Michigan, USA. This case reflects the difficulties arising out of the patients autonomy to choose the type, timing, and extent of the medical management even though in some clinical scenarios, like the case presented, the patient was not able to communicate his physiological needs for a safe and protected shelter from the extreme weather, and was unable to follow up with the medical plan offered at the emergency room during each of his prior visits before the catastrophic event of unwitnessed hypoglycemic seizure and severe hypothermia
The patient was responsive to pain; pupillary size was 3 mm, so naloxone was administered; blood sugar was 25, so mL of dextrose 50% was administered raising the blood sugar to
Summary
A middle aged male was admitted as John Doe by emergency medical services when he was found slumped at a curb by police. Rau1 1Department of Internal Medicine, 2Department of Anesthesiology, Wayne State University/Detroit Medical Center, Detroit, Michigan, USA
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