The contributor of this medical mnemonic is Sean. Thank you!
For patients who present to the ED with altered mental status you should always BeGiN FLUIDS
B1 (thiamine deficiency)
Glucose (hypoglycemic)
Naloxone (opioid intox)
FLUIDS (dehydration)
Note: although AMS (Altered Mental Status) might be due to hyperosmolar hyperglycemia in type II DM, raising the blood glucose by 100 pts will not significantly worsen their condition, while failing to treat hypoglycemia can have profound consequences.



Very good and logic explanation