You are a doctor of EMS (Emergency Medical Service), and you´ve arrived at the scene. In the middle of a living room, there is a man in his fifties lying flat on a carpet and his daughter by his side. She tells you that he suddenly became unconscious when watching TV. You access the patient and examine him according to ABCDE. What do you do now?
Correct! The patient is unconscious, and he needs to be treated at the highest level A&E. This A&E level is for patients whose vital functions are critical - for example, life-threatening injuries, intoxications, shock, and CPR.
Level 3 A&E is for patients suffering from decompensation of chronic illness or an acute state but not life-threatening condition.
Given the circumstances and our findings at this time, we do not suspect any intoxication.
Findings according to ABCDE:
• A: mouth without injuries
• B: spontaneously ventilating, RR 20/min, SpO2 94%, auscultation without pathology
• C: BP 160/80, HR 75/min, capillary refill up to 3s, warm periphery
• D: GCS 3, pupils isocoric, miotic, centered, photoreaction +, without any injuries
• E: glycaemia 7,8 mmol/l, BT 36,7 °C