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 first[edit | edit source]

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

Red flags[edit | edit source]

  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 if[edit | edit source]

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

Reminders[edit | edit source]

  • 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 staging[edit | edit source]

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 staging[edit | edit source]

Fasting[edit | edit source]

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

Not fasting[edit | edit source]

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

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

Notes[edit | edit source]

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.

Community content is available under CC-BY-SA unless otherwise noted.