Clinical Case Scenario
A 45-year-old man working as a ground cleaner for an international airline presents to the emergency department with altered mental status and oliguria. He has a history of chronic alcohol use and was found unconscious near a maintenance area with multiple empty containers of aircraft de-icing fluid. Laboratory investigations reveal a serum creatinine of 3.5 mg/dL, a high anion gap metabolic acidosis, and calcium oxalate crystals in the urine
figure 1. De-icing procedure of aircraft
Figure 2. De-icing fluid to remove ice from aircraft body
Question: What is the most appropriate initial treatment?
