What is the main priority when treating a patient with altered mental status (AMS)?

When treating a patient with altered mental status (AMS), the main priority is crew/responder safety. This is essential because if the responders do not ensure their own safety, they may be unable to provide care to the patient effectively or may even become casualties themselves. Patients with AMS can exhibit unpredictable behavior, which may pose risks, including aggression, confusion, or the inability to cooperate, and responders must assess the situation to protect themselves and the patient before rendering aid.

In any emergency response situation, establishing a safe environment is a fundamental step that allows for effective assessment and treatment of the patient. Once the safety of the crew is assured, responders can proceed with appropriate medical interventions, such as performing a thorough evaluation of the patient's condition and determining the nature of their altered mental status. Ensuring a safe scene facilitates effective communication, treatment, and transport, allowing for optimal patient care.

The focus on patient comfort, immediate transportation to the hospital, and administering medications are secondary actions that should follow safety assessments. While these are important components of care, they cannot take precedence over ensuring that the environment remains safe for everyone involved.