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.