You place the patient on a monitor and complete your neuro and trauma assessment. The patient's sister calls to tell you he had taken something called "spice" an hour before he "went bananas". The patient remains sedated but arousable for the next 2 hours. He is re-evaluated and the physical restraints are removed. The patient's exam and labs are unremarkable. He is discharged home with a referral to outpatient substance use counseling.
It is 4 am so you grab a cup of coffee and finish your note.
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