BoardCase 34

Scottish Ambulance Service — Pre-alert

Confused at home, glucose reading high

“We are bringing in a 76-year-old woman who has been found confused at home by her niece. She has a history of type 2 diabetes. Her blood glucose is reading ‘HIGH’.”

ATMIST

A — 76-year-old woman.
T — Increasing confusion and deterioration over several days.
M — Medical presentation; reduced oral intake and increased thirst.
I — No reported trauma; background of type 2 diabetes and CKD stage 3.
S — HR 118, BP 92/56, RR 20, SpO₂ 96% on air, GCS 12, BM “HI”.
T — One peripheral IV cannula inserted; oxygen administered by ambulance crew.
ETA — Six minutes.

ETA six minutes. She is not in the bay. The monitor stays off until she arrives.