What should be checked first in a critical patient assessment?

In a critical patient assessment, establishing and ensuring a patent airway is the top priority. If the airway is compromised, no matter how well the other systems (circulation, breathing, neurological status) function, the patient cannot receive adequate oxygen, which is vital for survival. Without a clear airway, the patient is at immediate risk of respiratory failure and subsequent cardiac arrest. Therefore, the reassessment of the airway should always be the first step in managing critical patients.

While assessing circulation and breathing are also essential components of the primary assessment, they come after ensuring the airway is clear. Effective management protocols, such as the ABCs (Airway, Breathing, Circulation), prioritize airway management first to stabilize the patient's condition promptly. This approach aligns with best practices in emergency medical situations, making it crucial to address airway concerns at the forefront of patient assessment.