During transport, if a patient with a headache develops altered mental status, what is your primary concern?

The primary concern when a patient with a headache develops altered mental status is maintaining an adequate airway. An altered mental status can lead to a decreased level of consciousness, which increases the risk of airway compromise. If the patient is unable to maintain their own airway—either due to impaired protective reflexes or altered consciousness—it can result in aspiration or obstruction. Ensuring that the airway is clear and secure is crucial to prevent respiratory failure and ensure adequate oxygenation.

It is also essential to closely monitor the patient's airway because any changes in their mental status may complicate their ability to breathe effectively. Therefore, addressing airway management takes precedence over other assessments or interventions at this stage of care. While assessing neurologic status and gathering history is important, these actions should follow the immediate need to maintain a patent airway, especially in a scenario where the patient's condition changes rapidly.