Incoming

Scottish Ambulance Service pre-alert to RESUS 1.

ATMIST
A 19 years, female
T unwell 36 hours, vomiting since last night
M known type 1 diabetes, missed last two insulin doses, now drowsy
I none
S HR 128 BP 88/52 RR 32 SpO2 98% air GCS 14, ketotic breath, BM 28
T 250 mL crystalloid, no insulin
ETA 6 minutes.

Crew: "She's blowing off, smells of ketones, and she ran out of insulin."