The incident occurred in 2014 after the two high school students had been drinking and smoking marijuana with friends at a Tulsa park. The boy, who was 17 years old at the time, gave the 16-year-old girl a ride home; blood tests later showed her blood-alcohol level was .341, indicative of severe alcohol poisoning, Oklahoma Watch reported, citing court records. She was unconscious when he dropped her off at her grandmother’s house and taken to the hospital, where she woke up in the middle of an examination for sexual assault. The boy’s DNA was detected around her mouth. He claimed she had consented to have oral sex, but she says she can’t remember anything after leaving the park, the Guardian reports.
The comatose patient should be physically examined for any helpful signs, such as lumps on the head and non blanching rashes. The system which will be examined most intently ( and often provides the least information) is the nervous system. There are certain parts of the central nervous system which are easy to examine, including the eyes and reflexes, but other information is provided by the posture and muscle tone, and the respiratory pattern. The eyes do give useful information pupil size and equality, and direction of gaze.
Fifteen trials compared various other oral care solutions. There is very weak evidence that povidone iodine mouthrinse is more effective than saline/ placebo ( RR , 95% CI to , P = , I 2 = 74%, three studies, 356 participants, high risk of bias ), and that saline rinse is more effective than saline swab ( RR , 95% CI to , P < , I 2 = 84%, four studies, 488 participants, high risk of bias ) in reducing VAP. Due to variation in comparisons and outcomes among trials, there is insufficient evidence concerning the effects of other oral care solutions.