Altered mental status (AMS) refers to any change from a person's normal mental state and can be caused by problems in the brain or body affecting the brain. Prehospital goals are to ensure adequate ventilation and circulation, administer oxygen and glucose, assess and treat underlying causes, and consider the possibility of trauma. The nervous system controls voluntary and involuntary functions through the central nervous system (brain and spinal cord) and peripheral nervous system (nerves). Common causes of AMS include structural issues like strokes, metabolic derangements from external factors like poisoning or internal problems like hypoxia or organ failure. Diabetic emergencies can cause AMS due to hypo- or hyperglycemia. Seizures are also a potential cause