EMT Lesson Plans

4.18

Situation: 43-year-old, dispatches as altered mental status

Endocrine I

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 is staring at the wall Mental Status:

Insulin Pump

Alert and upright, but will not communicate

Airway:

Patent

Breathing: Circulation:

12 per minute

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: 72

78

74

Pelvis:

Insulin pump on belt

BP:

138/72

134/72

132/80

Extremities: Unremarkable Posterior : Unremarkable

Resp:

12

12

12

SPO2: 98

97

98

OPQRST: O:

SAMPLE: S:

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

Uh…. It’s drying. The paint is drying.

P: Q: R: S: T:

A: M:

Yes.

Uh-huh.

P: L: E:

No. Not today.

I dunno

Bystander says he was fine 20 minutes ago

Err. He’s weird that one.

OTHER: Patient will resolve with oral glucose and become oriented and RMA