54-year-old male at his residence — wife called 911. Husband is "acting strange, confused, and sweating" after waking up this morning. He has a history of diabetes. Unable to tell if he took his insulin. He is conscious but not making sense. Wife is on scene.
Patient
54M
Chief Complaint
AMS
Hx
Diabetic
Priority
Code 3
⚕ DIAGNOSTIC MODE — The cause of this patient's altered mental status is NOT confirmed. AMS has many causes. Assess the patient systematically and gather the information you need before you treat.
⏱ Scene time graded generously — reading time is not penalized. Clinical decisions matter, not speed.
Vitals — Live
WORKING DIAGNOSIS
UNKNOWN — ASSESS
Known diabetic history
Blood glucose confirmed low
Classic hypoglycemia signs
Missed meal / extra insulin
Responded to glucose
00:00
SCENE TIME
Reading time not penalized
HEART RATE (bpm)
108
▲ Tachycardia
SpO2 (%)
97
✓ Good
RESP RATE (/min)
18
— Normal
BLOOD PRESSURE
142/88
— Mild hypertension
BLOOD GLUCOSE (must check)
BGL (mg/dL)?? CHECK
StatusNOT CHECKED
SkinPALE / DIAPHORETIC
Score
Safety0
Assessment0
Protocol0
Time100
PATIENT STATUS
ALTERED — DETERIORATING
┌────────────────────────────────────────┐
│ RESIDENTIAL HOME — BEDROOM │
│ Patient sitting on edge of bed │
│ Wife standing nearby, visibly upset │
│ Insulin pens and glucose meter │
│ visible on nightstand │
└────────────────────────────────────────┘
PT: MALE · 54 YRS · CHIEF COMPLAINT: AMS / CONFUSION — KNOWN DIABETIC