What is the first action to take when treating a patient with AMS?

When treating a patient with altered mental status (AMS), the priority is to check blood sugar and oxygen levels. This is essential because AMS can stem from various causes, including hypoglycemia (low blood sugar) and hypoxia (low oxygen levels). By assessing blood sugar and oxygen saturation, a first responder can identify whether the AMS is due to a potentially life-threatening situation that requires immediate intervention.

If a patient is hypoglycemic, administering glucose promptly can significantly improve their condition and reduce the risk of further complications. Similarly, if oxygen levels are low, supplemental oxygen might be necessary to stabilize the patient. These initial assessments help guide further treatment decisions and interventions, ensuring a focused and effective response to the patient’s condition.

While other actions like administering medications, transporting the patient, or performing a physical exam may eventually be necessary, prioritizing blood sugar and oxygen levels provides critical insight into the underlying cause of the AMS and allows for more informed treatment planning.