Your patient is a 37-year-old male sitting on the kitchen floor. His wife is attempting to talk with him, but he does not look at her or answer. He is fidgeting and has apparently thrown some dishes against the wall. What should be your first consideration?
A) Quickly check the patient's carotid pulse.
B) Ask the wife to step into the other room so you can speak with the patient alone.
C) Stay a safe distance away.
D) Ask the wife to step outside with you so you can get information from her.
Question 2
You are transporting a stable patient who was involved in a minor fall from a ladder at a height of about 10 feet to a local community hospital. You assumed full spinal precautions not only because the patient has midline back pain in the sacrum, but also because he was knocked unconscious. While transporting, the patient begins to become increasingly confused, develop an irregular respiratory rate, and experience a drop in heart rate with an increase in blood pressure. You just called in a radio report and are about 7 minutes from the hospital. A trauma center is about 10 minutes away. Which of the following is the BEST transport decision?
A) Divert to the trauma center because the patient is becoming symptomatic.
B) Continue transporting to the local hospital since it's the closest facility.
C) Call medical control for advice from the trauma center.
D) Continue transporting to the local hospital because you've already given report and they accepted the patient.
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Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3)