EMT Lesson Plans

4.06

Situa on: 42-year-old, dispatches as altered mental status

DKA I

Scene Size-up: Safety:

Scene is safe, cops are on scene

BSI:

Gloves

Pa ents: 1 Mechanism/Nature: NOI – AMS Resources: ALS

Primary Assessment: General Impression: Person collapsed at home on couch Mental Status: Pain only Airway: Patent Breathing: 10 per minute, very deep and loud Circula on:

Palpable pulse at wrist, hot dry, no severe bleeding

Desired Response:

Primary then focused secondary

Physical Exam: Head:

Acetone breath

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 62

64

62

Pelvis:

Unremarkable

BP:

100/70

98/74

102/72

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

10

10

10

SPO2: 96

97

96

OPQRST: O:

SAMPLE: (bystander provided) S:

He has sugar issues but this is really bad

He is unconscious and breathing deeply

P: Q: R: S: T:

Not sure

A: M:

None

He is REALLY loopy this me

Insulin, but he hasn’t had it for 3 days

Not sure

P: L: E:

Diabetes

This is the worst I’ve seen

Meat loaf 5 hours ago He was watching TV in bed

It’s been ge ng worse over the last 6 hours. He was just red this morning

OTHER: The patient is waiting until his next paycheck to buy insulin. He was run down this morning, but 6 hours later he is completely unresponsive