A patient in their 60s, with a background of asthma and seizures from alcohol withdrawal was brought in via ambulance to the emergency department. The patient was in a comatose state, the Glasgow Coma Scale Score was 8 (E2, V2, M4), with no localising neurological findings. The patient had last been seen well the previous day. The patient was grimacing and agitated, presented with bradycardia at 40 beats per minute, and was mottled and cold. Oxygen saturation was 98% on room air via forehead oximeter, with 10 breaths per minute and blood pressure was 140/65 mm Hg on the right arm. …