We've recorded these series of episodes a while ago, and we just want to take a moment to acknowledge the great toll COVID-19 pandemic has had on so many communities across the world.

And thank you, the incredible health care providers, working hard to take care of our communities.

We, the CP solvers, are trying to do our part from practicing good hand hygiene, canceling our personal

work travels to working alongside our amazing colleagues to take care of our patients.

We're thinking a lot about you during these uncertain times. It's a real, real privilege

to do this job and to share our love for diagnostic reasoning with you all. In fact,

we'll be extending that to creating some content around COVID,

including an episode, illness script of COVID itself, and related diseases.

For now, much on our latest episode.

Today, it's an episode about Latic Acidosis.

Hey, folks, just a quick reminder that this episode is not meant to be used for medical advice, just good old-fashioned education.

All patient information has been modified to protect their identity, and the views expressed in our podcast do not necessarily reflect the opinion of our employers.

Welcome back clinical problem solvers.

My name is Charming Chagartian.

Whoa, whoa, whoa.

I wish there was time for the intro.

But guys, we have a patient who's being brought to the ED who needs our immediate attention.

He's a 75-year-old man with a history of alcohol use disorder, brought in by ambulance for shock.

Neighbors noted he was confused.

On arrival, EMS noted an initial heart rate of 113, blood pressure of 81 over 42, respiratory rate 32, and O2 sat of 71% on room air.

He was put on non-re breather at 10 liters per minute with unchanged heart rate and blood pressure,

but O2 sat increased to 92%.

...