Primary

A
B
C
D
E

? Nutritional DeficiencyThiamine 100mg IV
? Opioid OverdoseNaloxone
Initial DiagnosticsCBC
CMP
VBG
Blood Cultures x2
Ca / Mg / PO4
Urine HCG
Urine Tox
ECG

Other:
CO
ETOH
APAP
Salicylate
? SepsisCeftriaxone 2g + Vancomycin 1g
If ?meningitis: 10mg dexamethasone before abx
Consider empiric acyclovir
Imaging

Full Differential