You and your partner have been dispatched to a residential area in Yas island for a patient that has a severe headache. The patient is a 67-year-old female that lives alone. She says that she was sitting on her bed watching TV when she had a sudden headache that would not go away. She says she tried to call 999 but was struggling to speak. She also says that her face feels funny.
His vitals are as follows:
- GCS 15/15
- BP154/102 mmHg
- HR 102 bpm
- CRT less than 2 seconds
- HGT 9.6 mmol/l
Her medical history includes:
- Signs and symptoms – sudden headache. Severe pain coming from the frontal lobe.
- Allergies – No allergies
- Medications – She is on insulin and hypertension medication
- Past medical history – She was diagnosed with type II diabetes when she was a child and has been diagnosed with hypertension.
- Last meal – She last ate dinner at 20H00 (it is now 22H00)
- Events – She was just sitting when the headache started
Physical examination includes:
- Pupils – Right pupil is non-reactive to light, left pupil is
- Head – Facial droop of the righthand-side
- Neck – normal, no distended neck veins and trachea central
- Chest – bilaterally clear air entry
- Abdomen – soft, non-tender
- Limbs – Arm drift on righthand-side. Decreased strength on right hand and foot.