• Transported to hospital
• Elliot Williams, Paramedic Woodburn Ambulance
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Urosepsis
• Encephalopathy
• UTI
• CVA (stroke)
• Myocardial infarction
• Drug overdose or adverse drug reaction (eval new medications)
• Hypertensive encephalopathy
• Renal failure
• Electrolyte abnormality
• Urosepsis
• Dehydration
• CBG = 117 on scene= 117 on scene
• Initially the medic towers over the pt but then corrects himself and gets down to eye level
• Pt seems to be confused enough to require the use of implied consent for transport if she does not want to go to the hospital (not oriented to place or year)
Further assessment should include 12 lead, temperature, mini neuro and mental status exam. Lactate if available. If mental status change is acute; she will need an IV lock
– David Tauber, Paramedic Program Director, Yale University
Altered mental status in the elderly
• Gender: Female
• Age: 96 years
• Weight: Not Available
• Height: Not Available
• Temperature: Not Available
• Blood Pressure: 157/77
• Heart Rate: 77
• Respiratory Rate: 16
• Pulse Oximetry: 94%
Recent diagnosis, urinary tract infection; presents with confusion
• Recent diagnosis, Urinary tract infection
• Congestive heart failure (CHF)
• S/P left mastectomy
• Ciprofloxacin
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