EMT Curriculum

3.11.E.1

Situation: 57-year-old, dispatched as Altered Mental Status

Unstable Medical I

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Weak

Patients: 1 Mechanism/Nature: NOI – altered mental status Resources: ALS

Primary Assessment:

General Impression: Person sitting in chair – leaning to left Mental Status: Alert but confused – cannot speak Airway: Patent Breathing: 12 per minute, unlabored Circulation:

palpable pulse at wrist (64), warm/dry, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Left side facial droop Right pupil blown

Neck:

No JVD

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Pulse: 64

66

64

Abdomen:

Unremarkable

BP:

188/78

176/92

180/84

Pelvis:

Unremarkable

Resp:

12

12

12

Extremities:

Left side weak (hand and foot)

SPO2: 96

96

97

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: (bystander provided) S:

N/A N/A N/A N/A N/A

He is confused – not himself!

P: Q: R:

A:

Peanuts

M:

Coreg, Metoprolol High Blood Pressure Salad 4 hours ago

P: L: E:

S: T:

30 minutes

We were watching TV together

OTHER: