Question

After performing a rapid assessment on an adult patient, you determine they are unresponsive, breathing and their pulse is present. You suspect they have a head and neck injury. What actions should you take?

-Wait to activate EMS, the rapid response team or the resuscitation team until you have concluded your secondary assessment.
-Perform primary assessment (Airway, Breathing, Circulation, Disability, Exposure) and emergent/initial interventions.
-Place them in left lateral decubitus position.
-Perform secondary assessment as patient condition allows.
-Reassess patient, recognize issues and provide care as needed.

Answer 1

Immediately activate emergency medical services, perform primary assessment and necessary interventions, and reassess the patient's condition continually.

Step-by-step explanation:

After performing a rapid assessment on an adult patient and determining they are unresponsive but breathing with a pulse present, you should activate EMS, the rapid response team, or the resuscitation team immediately. Do not wait to conclude your secondary assessment as time is crucial in such emergencies, especially when you suspect a head and neck injury. The primary assessment, which includes Airway, Breathing, Circulation, Disability, and Exposure (ABCDEs), should be performed promptly along with any necessary emergent or initial interventions.

If a spinal injury is not suspected, the patient can be placed in the left lateral decubitus position to help maintain an open airway and prevent aspiration. A secondary assessment can be carried out as the patient's condition permits. It is vital to continually reassess the patient, recognize any emergent issues, and provide care as required.

A rapid assessment of neurological function is essential, as it can determine the extent of a potential injury to the central nervous system (CNS) and guide immediate treatment, which can significantly affect the patient's recovery prospects.