Several challenging EMS cases to help you make the diagnosis and save more lives!

Baltimore City EMS Cases with Dr. Amal Mattu


A 44-year-old man with PMHx of diabetes is transported to the ED by EMS for lethargy and altered mental status. His finger stick blood glucose measurement read as “high”.  The following ECG was obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is the next best step in treatment of this patient?
  3. What is the fastest killer in DKA?