You respond to a 22-year-old male patient who fell while exiting the local bar.Bystanders state he drank at least 10 beers and could not keep his balance.Physical exam reveals that the patient is alert to verbal stimuli only.He has a Glasgow Coma Scale of 3,4,6; slurred speech; and an obvious scalp laceration to the back of his head.He is refusing treatment and transport and wants his friends to drive him home.The nearest hospital is 5 minutes away,a Level II Trauma Center is 10 minutes away,and a Level I Full Service Trauma Center is 30 minutes away.Which of these is the most appropriate facility for the patient?

Question

Quizplus · Accepted Answer

Given the patient's condition, including a Glasgow Coma Scale score indicating altered mental status, slurred speech, and a scalp laceration, he requires evaluation at a trauma center. The Level II Trauma Center is the most appropriate choice because it can provide comprehensive trauma care and is closer than the Level I Center, making it a suitable option given the patient's urgent needs.

You Respond to a 22-Year-Old Male Patient Who Fell While