Case Discussion

The cause of the hypotension and vertigo was never fully delineated, even with a thorough workup, private investigator's investigation, and other tests. The patient was removed from exposure, decontaminated in the field and at the emergency department, and appropriately treated. A "hold" tube of blood showed only trace amounts of the substance, an anticipated finding. No specific treatment or antidote was necessary, other than intravenous fluids. By following proper procedures, the patient was treated without contaminating coworkers or emergency personnel.

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