A 46 year old male was found unconscious in Nottingham City centre at 1pm and when ambulance staff tried to wake him he was unresponsive Upon admission to accident and emergency at QMC, the patient was found to have minor contusions to his forehead an empty bottle of vodka was in his coat pocket but his breathe did not smell strongly of alcohol The patients general condition was reasonable, but he showed signs of sarcopenia and appeared slightly jaundiced Bloods were sent for analysis