EMT Lesson Plans

4.06

Situa on: 78-year-old, dispatched as altered mental status

Diabe c II

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

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

Primary Assessment: General Impression: Pa ent is in bed not moving Mental Status: Verbal only Airway: Patent Breathing: 14 per minute unlabored Circula on:

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

Extremi es: Unremarkable Posterior : Unremarkable

Resp:

14

14

14

SPO2: 96

97

96

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: S: T:

A: M:

None

Insulin, me ormin, protonix

I don’t know she does this all the me

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: