Prehospital Care | Altered Level Conciousness
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<< Altered Level of Consciousness: Evidence-Based Management in the Emergency Department (Pharmacology CME)

Prehospital Care

The primary goal of prehospital care for patients with ALOC includes stabilization of the patient en route to the ED. Initial assessment should include evaluation of the ABCs (airway, breathing, and circulation). The patient’s airway should be evaluated and interventions to maintain patency should be applied. In cases of ALOC, hypoxia or hypercapnea can be causes or exacerbating factors, and respiratory support should be provided as needed. This may include placing the patient on supplemental oxygen or giving bag-valve mask ventilation. Endotracheal intubation should be considered to protect the airway in patients with a GCS score ≤ 8.

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