C) Altered mental status following a MVC.
H. The patient was found by Lt. Westmoreland sitting in her vehicle with the driver's side facing the side of the house. The patient was conscious but denied hitting the residence and the parked vehicle, even after looking at the damage to her vehicle and the residence.
Witnesses stated that the patient passed another vehicle at an excessive speed and never slowed down until her vehicle struck the parked vehicle, bounced through the carport support column, and came to a rest after striking the corner of the residence.
A) ALS assessment: The patient is a 77-year-old female who was found sitting in a chair behind her vehicle with Lt. Westmoreland at the side and sheriff deputies as well. The patient was found conscious, alert, but disoriented with an open and clear airway.
Neurological: The patient has obvious short-term memory loss and asks repeatative questions, but has no other obvious neurological deficits.
HEENT: She has no obvious injuries or deformities to her head, eyes, ears, nose, or throat. Her pupils are equal and …show more content…
The patient was then placed on the cardiac monitor, revealing an apparent sinus rhythm without any ectopy, and intravenous access was established with an 18-gauge angiocath in the left antecubital that was flushed with normal saline without any complications. The patient was then monitored during the transport to the ER at Erlanger, with no changes in the patient's memory of the incident (the patient was still unable to remember the