BoardCase 35
Scottish Ambulance Service — Pre-alert
Sudden left-sided weakness
“Sixty-eight-year-old man, found by his wife just after midnight. He was grunting, with a dense left side and slurred speech. Last known well at 22:55. He is not on an anticoagulant.”
ATMIST
A — 68-year-old man. T — Found by his wife at 00:15, grunting, with severe left-sided weakness and dysarthria. Last known well 22:55. Onset not witnessed. M — FAST positive. Right gaze preference. I — Atrial fibrillation, not anticoagulated. Hypertension. Previously independent. S — HR 96 irregular, BP 208/110, RR 16, SpO2 97% on air, GCS 13, BM 6.4. T — Monitored. Oxygen not required. ETA — Four minutes. Pre-alert 00:50.
ETA four minutes. He is not in the bay. The monitor stays off until he arrives.