Accidental Hydrogen Peroxide Ingestion
Bibliographic record
Abstract
A 78-year-old gentleman was found by his son approximately one hour after accidental ingestion of 30-50 ml of 35% hydrogen peroxide; this was taken in error instead of intended gastrograffin in preparation for abdominal CT.The patient was confused, vomiting and was rushed to hospital.Examination by ICU staff at the time of admission disclosed a fluctuating level of consciousness.Initial examination by the consulting neurologist the day following ingestion showed stupor, a left sixth nerve palsy, absence of left sided movement and bilateral Babinskis.MRI at this point showed multiple foci of restricted diffusion and abnormal T2 signal throughout the anterior and posterior circulations including the right occipital lobe as well as multiple foci in the parietal lobes, right greater than left (Figures 1,2,3).After discussion with the family, level 3 care was instituted (no code, comfort measures only).However, by the next day, the patient demonstrated dramatic improvement and re-examination by the neurology service five days after ingestion demonstrated a normal neurologic exam, including the patient's recall of solution ingestion.Investigations at this point showed normal carotid Doppler flow studies, normal cardiac ventricular function, moderate aortic regurgitation and
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.005 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".