Prehospital providers must ensure scene safety prior to assessing any patient. Patients with toxic alcohol exposure should first be evaluated for adequate airway, respiratory, and circulatory status. After providing airway support or fluid resuscitation as needed, the patient should be examined for causes of altered mental status, including stroke, toxic exposure, and traumatic injury. Prehospital providers should assess the patient’s history and gather information from any containers of substances that may have been ingested by the patient.
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