when you receive a case in the Emergency Room, for example a case suffering of a Disturbed Conscious level , don't get confused ! and let the differential of the cause disrupt you from what's more essential at this stage, the famous scheme ABCDE ,In other words think of the differential of what may be the cause of the Disturbed conscious level while you are actively working on the following and making it your first priority :
A : Securing Airway , check for airway patency and Intubate when indicated, note that any patient with GCS less than 8 should be intubated, even if he was breathing spontaneously !
B : Breathing , check whether the patient can breathe spontaneously, the pattern and rate of breathing
C : Circulation, check whether the patient pulses are palpable , rhythm , rate assessment,check if there any signs of dehydration or there's a need for urgent I.V fluid support
D : Disability
E : Exposure, for any signs of traumatic or burn injuries, or any other clinical signs that may give a hint or a clue to the diagnosis
A : Securing Airway , check for airway patency and Intubate when indicated, note that any patient with GCS less than 8 should be intubated, even if he was breathing spontaneously !
B : Breathing , check whether the patient can breathe spontaneously, the pattern and rate of breathing
C : Circulation, check whether the patient pulses are palpable , rhythm , rate assessment,check if there any signs of dehydration or there's a need for urgent I.V fluid support
D : Disability
E : Exposure, for any signs of traumatic or burn injuries, or any other clinical signs that may give a hint or a clue to the diagnosis
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