A 27 years old man,previously healthy ,brought by his brother to ED unresponsive ,He was seen last normal last night . No other information is available . On examination , his Vital signs : HR: 130 ,BP: 88/ 50 ,RR: 30 breath per min ,SpO2: 80% % in 100% oxygen, T:39.6 C, blood sugar : 7 mmol/l . He had shallow rapid breathing with b/l equal air entry . His GCS: 8/15 V2 M2 E4, with pupils 3 mm b/l sluggish reaction, rest of exam unremarkable.
ECG is below
Q1 How will you approach this patient and what is your DD ?
Q2 What you will give him ? ( provide a list)
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