EMT Curriculum

4.06.C.2

Situation: 78-year-old, dispatched as altered mental status

Diabetic II

Scene Size-up:

Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – AMS Resources: ALS

Primary Assessment:

General Impression: Patient is in bed not moving Mental Status: Verbal only Airway: Patent Breathing: 14 per minute unlabored Circulation:

Palpable pulse at wrist, pale-sweaty, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam:

Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1

2

3

Abdomen:

Unremarkable

Pulse: 70

72

74

Pelvis:

Unremarkable

BP:

118/72

114/74

112/80

Extremities:

Unremarkable

Resp:

14

14

14

SPO2: 96

97

96

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: (bystander provided) S:

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

She was very confused up to a few minutes ago, now she is out cold

P: Q: R:

A:

None

M:

Insulin, metformin, protonix

S: T:

I don’t know she does this all the time

P: L: E:

Diabetes, GERD

about 30 minutes

She was too crabby this am, so she didn’t eat

Was lying in bed being miserable

OTHER: