Street Medic Wikia (beta), the online resource for street medics that anyone can edit

This is the list of things an intake worker at Common Ground Health Clinic should consider with each patient.

Vital Signs: safety firstEdit

Try to obtain vital signs within the first few minutes after the patient arrives at the station.

Red flagsEdit

  1. Chest pain/ tightness/ feeling of doom= heart attack
  2. One sided weakness or numbness/ difficulty talking or swallowing= stroke
  3. Elevated blood pressure + confusion, dizziness, blurred vision= hypertensive emergency
  4. Swollen legs, shortness of breath= heart failure
  5. Blurred vision, "feels funny," increased urination= hyperglycemia

Notify provider ifEdit

Blood pressure >220/120 (either systolic or diastolic)
Blood sugar >300 regardless of last meal
Heart rate >120
Temperature >102.5
Patient is complaining of difficulty breathing or chest pain


  • To avoid inaccurate blood pressure readings, use appropriate sized cuff - cuff bladder should encircle 80% of arm
    • Using a cuff that is too small can result in abnormally high reading
  • Fever exists if temperature is >100.4, not >98.6
  • Fasting blood sugar includes previous 10 hours with only water/ black coffee

Blood pressure stagingEdit

120/80 - 139/89 ... Pre-hypertension
140/90 - 159/99 ... Stage I Hypertension
>160/100 ... Stage II Hypertension

If diabetic, BP Goal = 130/85

Diagnosis of Hypertension = two abnormal readings on two different days

Glucose stagingEdit


<110 ... Normal
106 - 125 ... Pre-diabetic (IGT)
>126 ... Diabetes

Not fastingEdit

<200 ... Normal
>200 + symptoms ... Diabetes

Diagnosis of Diabetes type II = two abnormal readings on two different days


See Living well with diabetes

See Heart attack, Stroke, and Rescue breathing

This material is intended as a training supplement. Reading this material is no substitute for first aid / medical training with a qualified trainer. We encourage you to pursue ongoing education, reviewing and upgrading your skills-- for the safety of both yourself and anyone you treat.

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