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Situation: You are a firefighter EMT called to the scene of a local bar at 1:30 a.m. for a person who slipped from the bar stool and is unresponsive. When you arrive, people are crowded around him and the owner/bartender says, "He's just drunk. You don't have to examine him. Just get him out of here and take him to the hospital. It's bad for business." As your partner explains to the owner that you must examine him and then moves the crowd to the other side of the room, you hear another radio call about a hit and run motor vehicle accident with four victims (a couple and two young children) a block away.
1. What is your first priority in this situation?
2. What assumptions did you make on your way to the first call? Do these assumptions help or hinder you in decision making about the call? In what way?
3. What are the possible causes of the patient' lack of responsiveness?
4. What impact will the second call have on your assessment of the first patient?
5. What attitudes influenced your thinking or decision making in this situation?
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