What Would You Do Next For This Patient?

[@finedecision5639]

The patient adjusting his own head height is hilarious

[@jaygroomes1357]

Right

[@krisdeaglephotography4539]

Bro just vibin in the weewoo wagon

[@WhereNothingOnceWas]

I do that all the time and sometimes they rly fuckin gate it.

[@Doc.2]

How many times have you been in a wee woo wagon​@@WhereNothingOnceWas

[@medic-gg7jo]

That's what we call, a "frequent flyer". lmao

[@MariaBareiss]

"...Narcan, Auction, Trauma"

[@tenplusten1116]

@@YourNeighborhoodCaatsold me

[@jaygroomes1357]

​@@YourNeighborhoodCaatsold me to slavery bro

[@WerbenjagerX]

I'm ded

[@carissalynnftw]

That’s what I heard too xD

[@Corner-for-Assorted-Oats]

​@@YourNeighborhoodCaat this is by far the best comment I've ever seen

[@PaEMT_FF9]

I’m thinking he’s a frequent customer or ems provider since he knows the location of the cot release to get more comfortable.

[@fluffytail6355]

I’m in healthcare and have been hospitalized over the years several times. Yes, I know how to adjust my own stretcher and hospital bed. 😉

[@NuanceMeta]

Nah that’s just how bad the concussion was. He’s predicting the future now

[@seal9257]

Tripping so hard Scout from TF2 is in the ambulance with me

[@valoressbqiskrnrjbx5025]

Had to do a double take

[@captainsnake2000]

I knew he seemed familiar!

[@robm8897]

Thought the same thing

[@lizzly25]

Me: Bleeding profusely from my head. Scout: "Whats ammater, you frickin stupid?"

[@J4CKS0N_D34R3ST]

Even not being a TF2 fan I thought that first time

[@Kurimous]

I called an ambulance when my dad didn't know what year it was and couldn't tell me my name thinking it might be a stroke. It was sepsis.

[@jesterram7146]

eh close enugh

[@thereddestsuninthesky]

still good that you got your dad help.

[@theloosetrigger4514]

Terrifying thing, ain't it? Same thing with my mom, but with a sugar of 800.

[@Repolor]

Thank you for the information tf2 scout!

[@JoyPox-jf9xw]

it's what i was about to comment

[@D.U.D.E.-From-L0STR00MS]

Didn't see that till now lol

[@Unnamed_xy]

Oh thank god im not the only one that sees it

[@PokeMageTech]

Worse: look at the stethoscope. He’s an unholy amalgamation of the Scout and the Medic.

[@DiffGameContent]

I think before this video he said "What's your malfunction brother"

[@bigscinto5547]

"OK he's altered, what are you thinking?" "Check his pockets and see if he has more!"

[@bananagamezzz]

comment: good

[@oan1249]

he's altered, remember the THINK principle

[@Brebster53]

Sir did you just say “Oxen” 😂

[@paddington1670]

i think he said auction

[@xcxangel9948]

Aukchin

[@llaammeerr2506]

Oxgen

[@RosesaurusRex]

​@@paddington1670I also heard "auction"

[@MDuarte-vp7bm]

He said ox shin. Close enuf.

[@Vohasiiv]

"He's altered" sounds like something from a dystopian sci-fi movie

[@MDuarte-vp7bm]

@Vohasiiv it's necessary because "he's high" or "he's demented" carries a stigma and is potentially misleading.

[@hold_the_mike]

Altered is short for altered mental status. It is how we describe someone who has some neurological issue or mental health related issue. It isn't always due to drugs as said in this video. Could be traumatic brain injury or any of the other things he listed in the video. We don't just mean they are high.

[@PumpkinTed]

Nah its mandela catalogue

[@ReigningKaos]

Yeah... Got into a bad accident 2 weeks ago on my bike and the poor EMS team had to deal "with what day is it?" On repeat while I apparently very stubbornly refused to leave my son's side.. and got very belligerent about it when they insisted. I.. have no recollection of this event, but given their demeanor and my son's retelling of it I suspect it's quite accurate. Sorry guys >.

[@migdaliarobles2623]

You have been my inspiration. I received my NREMT yesterday. God bless you and your family always! Thank you for being the best teacher and instructor !!

[@beccapersephoneschneider1374]

its been 2months but CONGRATS!

[@mchammer32]

I prefer AEIOUTIPS: Alcohol/Acidosis/arrhythmia Endocrine/electrolytes Infection Oxygen/overdose Uremia (actue kidney issues) Trauma/Temperature Insulin(diabetic emergencies) Poisoning/psychosis Stroke/seizure I know its a bit longer but I feel like this mnemonic encapsulates most issues that EMS can identify, treat, delay death and help the ER come up with a quick treatment plan

[@cleverusername1894]

I think he might have had one of those 'S' words when he tried to say the 'O' word.

[@baylinesbit6995]

Underrated comment 😂 this killed me!!

[@garrrytheworm]

bruh when tf did Eminem become a ems operator?

[@furtivepygmy6508]

Bro I hate when they ask the date, I hardly ever care to check what date it is for that day, same with the month

[@Nixplaystrombone]

It's really just if you're close. Today is Wednesday, April 24, 2024, and you can probably get +/-3 dates of and maybe the day of the week off by 1 on each side. If it's late enough or early enough in the month they'll give you the one before too.

[@cub_q]

Well the year is kinda a fair question

[@scarygamer1778]

If you can't remember the year you have bigger issues lol

[@wholeNwon]

In the hospital I answered and then I asked her who the vice president was. She didn't know. What's our state capitol, she didn't know. And she was supposed to be taking care of me. Yes, I know.

[@michaelhilbe2991]

You don’t know what year you’re living in?

[@johnhightshoe996]

I remember when my preceptor told me that “if they are altered and over 60 it’s a UTI until proven otherwise, no get to proving it.”

[@mchammer32]

Thats a pretty bad way of going about it. Always better go through all of your systems than immediately starting with UTI. Geriatric patient are alterted for far more than just UTI

[@WesternPasta]

Scout from TF2

[@angelcontreras8976]

Omg I see it.

[@aswukman]

I earned a helicopter ride to the hospital after a car crash by confidentiality telling the EMTs it was the wrong day.

[@maximillion322]

“He’s altered” feels like a line from a sci fi movie

[@ZodiacBoi42]

Watch the Mandela catalogue

[@KacyColledge]

Patient is just having a good flashback from Desert Storm

[@thatonethumb6292]

Aeioutips is what I always heard for altered mental status

[@YvonneWatson-ff5ex]

My husband gets so mad because they ask him the same questions over and over again in the doctors office. They have to once you reach a certain age.

[@seraphina_swag]

Scout tf2 casually just appearing in this video had me fall out of my seat

[@YurpBoyz]

I had a pt lower the stretcher head rest on their own one time and it blew my mind. “Wow you are very comfortable with EMS. “

[@youraveragemedicmain866]

"Are we home yet boys?" That's a gulf war reference init?

[@unfortunatelynfgndhdr5548]

It's 2003 so it's prblly the US invasion of Iraq

[@ДжексонДиринг]

That’s what I thought

[@nicholasfrost8551]

If we're going with altered mental status my first biggest concern would be hypoxia. That's the biggest indicator. I would do an 02 sat reading and check the waveforms before i proceeded with treatment.

[@Listentomenowandhearmelater]

Thank you for this. I worry all the time for my type 1 diabetic son, knowing the medical community and the community at large are so unaware of what hypoglycemia looks like, much less hyperglycemia…

[@builtontherockhomestead9390]

Have an adult friend who's T1. She got the medic alert symbol tattooed on her wrist. No other tattoos. It's small, but in any emergency it will be noticed.

[@ThingsILove2266]

What do uou mean?

[@marlenegold280]

“Diabetes Solution” Book by Dr. Richard K. Bernstein, Diabetologist and T1D himself from age 12 to 90 (in two months). No diabetic complications. I follow his book because I don’t want the complications from the ADA dietary recommendations, or “eat whatever you want, then dose with insulin”… like that that ever works. Life with T1D is so much simpler without the 🎢🎢🎢🎢🎢 blood sugars.

[@Listentomenowandhearmelater]

@@marlenegold280 I learned about Bernstein about two days after my son was dx’ed, and immediately bought his book. I belong to several groups on social media that are adherents to his diabetes management practices and watch his videos on YT. Love him.

[@Listentomenowandhearmelater]

@@ThingsILove2266 I mean when my son was hospitalized with hypoglycemia, he was having seizures from his blood glucose being so low. The ER doctors kept asking if he had neurological problems or had a seizure disorder, and when he was discharged, they sent him home with papers saying,”you may have had a seizure because you didn’t take your seizure medication…” THEY HAD NO IDEA WHAT HYPOGLYCEMIA EVEN LOOKED LIKE!! It’s scary to think we know more about his diabetes than they do

[@bashtheman3016]

He’s actually an oblivious time traveler

[@rehabitathomesolutions9125]

This is life saving information

[@herobrine1883]

I once said that it was 2002 after I woke up from my cleft operation

[@redjoker365]

I get annoyed when asked "what day is it" or "what's today's date" and I made the 911 call around 10PM and don't have my phone or watch on me anymore. Feels like a trick question to get me locked up in a psych ward again

[@ZackSimler]

Wait what the English

[@pspop]

I’m sorry, again?

[@alptunatuncer3017]

My exact thoughts, thought I was going insane

[@Sgt.Shirou-no2vi]

The seizure one checks out my dad as come out thinking it was the 80s multiple times

[@bullshark3771]

As a person with seizures when I was coming out of one I once called my mom Matilda. She was regularly the last person I’d remember.

[@Non_Intelligent_Nevadan]

Scout looking different today😂

[@philippegauvin-vallee9371]

My brother once had a head injury during a sport competition. Paramedic used a hockey question and asked him what was the score. My brother is a speed skater and was not fooled.

[@DumLuck13]

Or... we could stick with the AEIOU TIPS like nearly everyone is taught

[@melongstrike]

I use move stupid.. everyone not taught the same. You would lose your mind finding out how I remembered hazard classes in fire school. Wasn't every good fire fighter...

[@travelOblivion]

Bro look like Scout TF2

[@TheAverageMR3]

you just spawned the entire TF2 community with that outfit 😂

[@Qira]

“4 S’s NOT Chucklenuts”

[@tonytontop3]

Random, I always heard; sepsis, seizures, strokes, and sugar. When u said it fucked my brain for a second. It may be how I was taught the corresponding warning signs. Someone lame/down/slow Y4; yellow, yelp(little shaky dog), yaw( face like going through a turn), yum. You would be amazed how much u can SEE someone's health in the first few seconds if you like. By all means not everything. But 2 minutes gives so much. Bravo to you for learning to see and make momentous decisions in mere moments. P.s. absent seizures are ABSOLUTELY real. Only realy 2 signs, limp limb(s), surely seen. As in you KNOW they should hear/see you.

[@rmtab6511]

Obviously accidental time traveller. Get him Naruto and let him relax.

[@SocietyGaveMeAidsDammit]

ssssnot?

[@Stoned_Silly]

that's actually really informative!!

[@Andrememberthat]

Rewatching this video til I can’t anymore

[@mountaetnablacksmithing1693]

I understand that as an emt you're not primarily a psychiatric or crisis response, but you can be, so I'd throw 2 Ds in there (delusions and dissociation) or at least an M for mental health. That too can lead to someone not knowing the year, president, etc. I personally deal with bouts of amnesia, and I've bombed on the mental status exam a few times as a result of my mental illness

[@dancerdog508]

True, this acronym is more so to rule out the life threatening causes and the things that we can treat, or attempt to treat, in the field. Usually if we rule out these things then we assume mental illness or dementia/alzheimer's depending on the patient age. Those things don't impact what immediate treatment the patient needs from us specifically if that makes sense. There is also another acronym which is used more often and includes psychiatric which is aeiou-tips

[@DembaiVT]

Omg this. This. I have headmates who have no clue what the day, season month or year it is. But they can give you all of the meds we are on, our phone and address... Like, knowing the year is secondary to survival, holy heck.

[@paxundpeace9970]

Missing Electrolytes, dehydration, Delir, Dementia

[@AugustERaven]

@@DembaiVToh that’s such a mood

[@PrincessNinja007]

The d's are also the 3 gods- if they are god, if they're trying to meet God, or they're trying to send you to God

[@Jaycemeier]

“Are we home yet boys?” I actually almost died reading that😂😂💀💀

[@KingDom.mp3]

You want me to check him for Snot? No, check him for SSSSNOT.

[@beastgalaxy295]

"2024" he's altered. "What?..."

[@TheThouZands]

Who knew scout was a paramedic

[@francesb2295]

Transport immediately. Let the ER make the determination.

[@shaunmalinowski2646]

Oxyn?

[@meganmarts5769]

I had a bad kidney infection and sepsis and i was so confused in the emergency room trying to explain why i was there

[@IntenseCity]

“Okay he’s altered”, that’s what I’m gonna use everytime my friends say something dumb from now on 😂

[@CPT_Crandalf]

He knows how to get a free ride to the hospital without too much issue once he gets there to get discharged relatively quickly without an AMA. Still good to check each time though just in case. Do not want to lose that license.

[@Technicallyaddicted]

My man is not on drugs. He just woke up.

[@NoumLyye]

Thank God he clarify them acronym. I'm scared I'll see 4Sess being NO T

[@xana7078]

or maybe he's a confused time traveler

[@thecoolaxolotlnova8523]

"Narcan🤠, Aux in🎶, Trauma🤠."

[@mahf9361]

Broo the scout goes Bonk

[@KehvN.0]

Bro looks like he bouta capture the Intel with crit-a-cola or bonk atomic punch

[@KentuckerFrdCkn]

bro looks like the tf2 scout and its crazy

[@AttackHelicopterDoesTickets]

Bro probably be singing all the 2003 hit songs on the ride home

[@AngelaSmith_1970]

I’ve been in septic shock and it happened fast 💨 😢 and by the time I got to the emergency room I didn’t know wtf was going on, I only had the presence of mind to give consent to be intubated and sedated and then I was awakened 13 days later to see my feet black with dry gangrene because the 3 different pressors used at once was causing tissue damage, to those who don’t take MRSA (methicillin resistant staphylococcus aureus) seriously, it can manifest in our lungs as MRSA-pneumonia and it has a high mortality rate, I consider myself extremely lucky to be alive and only missing a couple toes and half a thumb, it’s very hard to recover from and it’s not about “pushing yourself” especially if you’re still anemic from the illness, it’s been over a year for me now and I’m still not right, I just had to have an iron infusion because I’m not making enough hemoglobin 😢 I shouldn’t be anemic in any way.

[@killerfish9557]

Why is tf2 scout telling me about ambulances

[@EthanExists]

“Auction, trauma”

[@Fibbetgamer]

Scout from tf2?

[@Survwithagun]

I'd get a medical degree next

[@nickinurse6433]

We don't start with altered. That's not enough to start diagnosing. We always do basic vital signs first. So if there's no fever they're obviously not septic! Do a thorough exam and vital signs before you start any of your acronyms.

[@dahomie8206]

Funny cuz this was literally me in the ambulance after a fatal overdose

[@sari-kitty]

Obviously it wasn't fatal because you're still here lol. I'm glad you made it. ❤

[@Hann2x]

Red shirt guy looks like Scout from TF2

[@DemonsWillPray]

My S was seizure and I magically awoke in the ER

[@SnowyOwlGT]

The guy in the red shirt looks like he's about to say "Think fast chucklenuts!"

[@bertbaker7067]

Turns out the 2003 guy is a ghost and the ambulance crew is confused because they all just died in an accident

[@flynnjacobs9752]

I didn’t know Scout from TF2 was a paramedic!

[@Underutilized]

blud be lookin like scout from tf2 💀

[@acedapanda7344]

Why did I just come across scout tf2 in an ambulance

[@WhitexFeatherx]

AEIOU TIPS is what I learned in EMT B if I recall correctly

[@ssmith65785]

Man scout from tf2 has really changed

[@thehategrows]

We definitely need to change that, ooooo how about SSNOTSS? Like "check him for ssnotss"?😅😅😅

[@PSwayBeats]

No narcane anyone that's not overdosing You are going to put them through hell and back with those withdrawals

[@PeteKona]

In elderly patients, it can be a really bad urinary tract infection. It's wild to see.

[@elliothennessy8360]

2nd S

[@Irate_Beau]

"what year is it?" "uhh... hashbrowns?" "okay, he's altered!"

[@turretplayz8618]

Why does the emt character look like if tf2 scout had a loving father instead of the spy

[@anogrekid]

guy in the red shirt kinda looks like scout from TF2

[@mister.meaner948]

The first guy looks like scout from tf2 in his 30’s

[@YongBeeann-sq3im]

I'm pretty sure it's traumaa after he said are we home yet boys

[@pitofcreepers2655]

Never had my sugar low enough to require an ambulance ride, but def high enough for a hospital stay lol

[@aaronl19]

Why does he look like TF2 scout in the red shirt

[@happy_feat69]

The guy I'm red looks like scout from tf2

[@RagnarokGriffin]

4 "S's" That's right. Shape Shine Shadow Silhouette. Time to go dark.

[@marcbrownmusic2410]

I had to replay it to figure out what auction was

[@Destroyer40k0]

Genuinely thought the tf2 scout was in the first frame lol

[@shmile983]

I can’t help but feel like I’m looking at scout from TF2 😂

[@aaduwall1]

Honestly, he's probably just having a really good dream right now 😅

[@urzu7]

"Ok he's deviated, what are you thinking" That we should drive faster because I'm only first aid trained

[@titanportal4211]

Bro looks like the scout

[@purps8050]

bro lookin like the scout

[@scottplested6257]

That’s a good one.

[@KLUSTERIZER]

We gotta auction that trauma, stat!

[@julianwulian6547]

Oxchen