ABSTRACT
A 24-year-old man was found slumped on the steps outside a club by his friends, who called an ambulance. When the paramedics arrived they found his Glasgow Coma Scale (GCS) to be 3 (E1, V1, M1) and his pupils to be dilated at 6 mm bilaterally and sluggish. He became intermittently apnoeic during the assessment and a laryngeal mask airway was sited. He was brought to the emergency department where he was intubated. The friend accompanying him stated that the patient had consumed several alcoholic drinks that night and regularly used the psychoactive drug, λ-hydroxybutyric acid (GHB).
