00:00
Good morning, this is Air Evac Six.
00:01
We're coming to you with a transfer out of Elkview General in Hobart, Oklahoma.
00:06
Patient today is going to be a (number withheld)-year-old female.
00:09
Chief complaint is going to be DKA.
00:12
Currently, patient's GCS is 11.
00:14
Fingerstick blood glucose is 494.
00:18
We have paused the insulin drip because it has gone.
00:22
Down from 700 and thirty-eight at 230 to 400 and ninety-four at 330 .
00:30
Current vital signs for the patient: heart rate 100 and thirty-four, blood pressure is 100 and forty-two over eighty-seven, respirations in the thirties, too small, and SpO2 is ninety-nine percent on room air.
00:43
Currently, we have an ETA to your facility of approximately 18 min .
00:47
Any further questions or orders?
00:51
Uh, nope. From the RN perspective, this is good.
01:00
My crew, they have no further questions or orders.
01:06
Okay, next six, could you go ahead and connect us with med control, please?
01:12
Of course, they might.
01:18
My crew, I have Dr.
01:20
Stanton on the line.
01:21
You can go ahead whenever you're ready.
01:25
Stanton. This is Amanda with Air Evac Six.
01:28
I am requesting orders for a DKA patient whose blood sugar has dropped more than 100 in an hour.
01:36
Patient is a (number withheld)-year-old female, non-compliant diabetic.
01:42
Initial, or blood sugar at 2:30 was 7:38.
01:47
We rechecked it at bedside around three, and it was it read high.
01:53
The one we just got up 330 was 400 and ninety-four.
01:58
Patient was on six units per hour of insulin and has received two liters of fluid.