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You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General, we are bringing you a 3 year old female with complaints of altered mental status. We are pulling in now.”

Initial Vitals:

HR: 129

BP: 98/66

Temp: 99.7F

RR: 35

O2: 99% Room Air

Critical Actions:

  1. Check blood glucose
  2. Check ingestion labs
  3. Start bicarbonate drip
  4. Call nephrology
  5. Check venous blood gas