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.