An elderly M is bib ems. His wife called ems for an unclear reason. He was found on the floor in filth in a disorderly apartment. He has no complaints. His exam is most notable for a laceration on his R neck and superficial slash wounds on his left wrist. The neck injury looks like a puncture wound. There is no hematoma, tenderness, or bleeding. The patient is speaking normally. He was discharged from inpatient psych two weeks ago for depression. When asked about the laceration, he said he cut himself shaving. Labs and an ekg are done.
– What do we do about the neck wound?
– What do we do think about the ekg?
– What is his dispo?