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You are dispatched to a scene for an 83 year old lady who is at home and cannot get up. You arrive on scene to find a home that on the exterior is well kept. The scene appears safe and you enter the home. You find the rest of the house clean and things are put away but its summer, all the doors and windows have obviously been closed and the house is hot and stuffy. The patient is on the kitchen floor and there is a mess around her including urine and it looks like she might have also stooled herself. Her neighbor called 911 because she went to check on her after not seeing her out in the garden for the past 2 days which was unusual. On initial evaluation, you have to really raise your voice to get the patient to open her eyes. When she does she asks you if you want some tea. She does not appear to be in any respiratory distress but is breathing quickly, she has a weak and fast radial pulse and her skin is hot and dry. Your initial assessment is this patient is sick given that she.
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