EMT Curriculum

4.06.D.2

Situation: 64-year-old, dispatched as unconscious

DKA II

Scene Size-up:

Safety:

Scene is safe, cops are on scene

BSI:

Gloves

Patients: 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 Circulation:

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

Extremities:

Unremarkable

Resp:

4

4

2

SPO2: 88 Bagged: 98

87 98

85 98

Posterior :

Unremarkable

OPQRST: (bystander provided) O:

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

He’s had diabetes for a long time

P: Q: R:

Not sure

He seems exceptionally out of it

Insulin -not sure when he had it last

Not sure

P: L: E:

Diabetes

S: T:

Seems pretty bad

Breakfast 7 hours ago

Its been slowly getting worse over the last 7—8 hours

He was resting because he didn’t feel good

OTHER: