STS: ALOC February 16, 2016

ALOC Assessed with A&Ox3 ALS and transport Check GCS for severity

ETOH Most common Pt. Not always compliant - be firm but kind! Possible trip and fall Be prepared for vomit Note appearance –Alertness –Skin signs –Eyes –Presence of tremors Follow up questions –How much did they drink –When did they drink –What did they drink –Did they throw up already - if so, when and how many times

Drugs Sometimes associated with ETOH Not a cop, in order to provide the best treatment Look for signs Try to determine what it is –If don’t know- ASK!

Diabetic Type 1: insulin-dependent Type 2: non insulin-dependent What is the normal range for blood glucose? Indicators? Oxygen as needed and oral glucose Follow-up questions –last time they ate –last time they took insulin

Heat Stroke Especially older Pt. at tailgates, commencement, etc. Skin is warm, not sweating Expect vomiting Treat with ice packs, remove from environment Follow up questions –how long in the heat –last time they hydrated –do they feel lightheaded –any nausea/vomiting

Seizure/Stroke Seizure –May be in postictal state –O2 –C-spine precautions –Prepare for vomit –Follow up questions Stroke –Find baseline mental status –Prepare for vomit –Cincinnati Stroke Scale –Follow up questions

Head Trauma C-spine precautions Altercations, slip and fall, ALOC Treat obvious bleeding ALS

Assessment Be wary of answer Try to ask friends, family, or bystanders May get upset, explain what you are doing - be patient! Expect vomit Cannot AMA

Scenario 17 y/o McCarthy Quad, ALOC

Next Week: Monday (2/22): Optional STS Tuesday (2/23): CPR