In and Out and In Again

Pt admitted s/p kick to the head while intoxicated which resulted in a carotid artery dissection. He was admitted for BP monitoring (and other things) and told not to drink caffeine.

Before discharge he drinks coffee and starts having a panic attack (without Xanax because docs took it away), BP was fine and he wanted to leave so we discharged him.

A family member calls the ER an hour later, after driving 45 minutes home, because he’s vomiting all over and having a panic attack. Back to the ER he goes…

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