Emergency Medical Technician (EMT) Intermediate Practice Exam

When assessing a male patient with decreased level of consciousness and a smell of alcohol, what is the most appropriate initial step?

1. Perform a rapid trauma assessment

2. Administer naloxone

3. Assess the patient's blood glucose

4. Provide supplemental oxygen

The correct answer is: Assess the patient's blood glucose

The most appropriate initial step when assessing a male patient with a decreased level of consciousness and the smell of alcohol is to assess the patient's blood glucose. This is crucial because altered mental status can be caused by a variety of factors, including hypoglycemia (low blood sugar), especially in patients who may have consumed alcohol. Alcohol can lead to decreased glucose production in the liver, and individuals who are intoxicated may not have been eating properly, further contributing to low blood sugar levels. Evaluating blood glucose levels is a quick and straightforward process that can provide immediate information about a potentially life-threatening condition. If the blood glucose is found to be low, it can be addressed quickly with glucose administration, which could significantly improve the patient’s consciousness and overall condition. Other initial steps, such as providing supplemental oxygen or conducting a rapid trauma assessment, might be appropriate in specific contexts, but they do not address the immediate concern of potential hypoglycemia. Administering naloxone might be considered if there is a suspicion of opioid overdose, which is not indicated solely based on the symptoms provided. Therefore, prioritizing glucose assessment is essential in this scenario to rule out or treat hypoglycemia effectively.