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:
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