Question 55 · LEK · D – neurological assessment

An ambulance team was called for an unconscious man, aged about 35, who had been at a music club with his friends. His companions reported that they had come to the club after the whole day at work. The physical examination shows: the respiratory rate 8 breaths per minute, the pulse on the radial artery about 75/min, the skin wet and cold. At the spot of the intervention the paramedics should:

1) determine glycemia;
2) determine blood alcohol concentration;
3) assess the pupils;
4) examine the muscle strength;
5) evaluate Glasgow Coma Scale score.
The correct answer is:
  1. A. 1,2.
  2. B. 1,3.
  3. C. 1,3,5.
  4. D. 3,4,5.
  5. E. 4,5.
Hint

In an unconscious patient with slow breathing, focus on quick bedside checks that reveal reversible metabolic or toxic causes and grade consciousness.

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