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You're going to ask two questions the moment you reach a patient. How awake are they? And is their airway actually open? They sound like one question. They're not. A patient can be wide awake and still have a compromised airway. A patient can be silent and still have a patent one. So you check both, every time, in that order.
The Registry runs its whole primary assessment in a fixed sequence: general impression, then level of consciousness, then airway, then breathing, then circulation, then life threats. This lesson is the level of consciousness and airway pieces. They sit next to each other for a reason. The less responsive your patient is, the more likely their own tongue and their own secretions are about to take the airway away from them.
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