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You have a patient who is unresponsive on the floor. What is the best way to rule in or rule out trauma as a cause of the patient's unresponsiveness?

A. Look for a Glasgow Coma Scale score that is less than 8.
B. Examine the patient for signs of trauma.
C. Look for bystanders and ask them if they witnessed the incident.
D. Check the patient's blood sugar to rule out hypoglycemia.

1 Answer

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Final answer:

To rule in or rule out trauma as a cause of a patient's unresponsiveness, examine the patient for signs of trauma and use other assessment tools like the Glasgow Coma Scale to provide additional context.

Step-by-step explanation:

The best way to rule in or rule out trauma as a cause of the patient's unresponsiveness is B. Examine the patient for signs of trauma. This step involves a physical assessment for visible injuries, deformities, or signs of impact that could suggest the patient experienced a traumatic event. However, it is crucial to combine this approach with other assessment tools, such as the Glasgow Coma Scale (GCS), which provides an objective measure of the patient's level of consciousness, but a low GCS score alone does not differentiate between trauma or other medical conditions.

Asking bystanders (Option C) can provide context but may not give definitive physical evidence of trauma. While checking the patient's blood sugar (Option D) is important to rule out other causes like hypoglycemia, it does not specifically address the question of trauma. In an emergency, a rapid assessment of neurological function is imperative because it guides immediate medical intervention and aids in diagnosis and treatment. Signs from a neurological exam, such as reflexes, sensory responses, and motor control, help narrow down the potential cause of unresponsiveness and locate the injury within the nervous system.

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