EMT Lesson Plans

4.06

Situa on: 64-year-old, dispatched as unconscious

DKA II

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 lying in bed not moving Mental Status: Pain only Airway: Patent Breathing: 4 per minute gasping 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: 58

56

58

Pelvis:

Unremarkable

BP:

98/72

96/74

90/72

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

4

4

2

SPO2: 88 Bagged: 98

87 98

85 98

OPQRST: O:

SAMPLE: (bystander provided) S: He is unconscious A: None M:

He’s had diabetes for a long me

P: Q: R: S: T:

Not sure

He seems excep onally out of it

Insulin -not sure when he had it last

Not sure

P: L: E:

Diabetes

Seems pre y bad

Breakfast 7 hours ago

Its been slowly ge ng worse over the last 7—8 hours

He was res ng because he didn’t feel good

OTHER: