EMT Lesson Plans

4.18

Situation: 23-year-old, dispatches as altered mental status

Endocrine II

Scene Size-up: Safety:

Scene is safe, cops are on scene

BSI:

Gloves

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

Medic-Alert Diabetes

Primary Assessment: General Impression: Person is collapsed at his desk Mental Status: Responsive to pain only Airway: Patent Breathing: 14 per minute 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: 68

68

72

Pelvis:

Unremarkable

BP:

110/72

124/72

110/80

Extremities: Diabetes Medic Alert left wrist

Resp:

14

14

14

SPO2: 95

97

95

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: S:

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

Unable to respond Unable to respond Unable to respond Unable to respond Unable to respond Unable to respond

P: Q: R: S: T:

A: M:

P: L: E:

Bystander says he was fine 30 minutes ago

OTHER: Patient will gag if given glucose