Four patients who got injured in an automobile accident enter the emergency department at the same time and are immediately seen by a triage nurse. Which one would you prioritize first?
  1. A patient with gurgling respirations with severe maxillofacial injury
  2. A patient with dislocated leg
  3. A patient with lumbar spinal cord injury and lower extremity paralysis
  4. A patient in a deep coma with no response to pain and dilated pupils
Explanation
Answer - A - The nurse should attend to Patient A first. Patient A has a severe airway problem and needs immediate attention. Consider the order of airway, breathing, and circulation in prioritizing patients. Patients B and C were not elaborated and no evidence of airway or circulation is present. These patients might be in pain, but need to be assessed after patient A. Patient C is more critical than patient B due to extremity paralysis and possible loss of limb functioning. Patient D would be the last to be attended to because the patient is already dead.
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