A 42-year-old male is found unresponsive on his couch by a neighbor. During your assessment, you find no signs of trauma and the patient's blood glucose level is 75 mg/dL. His blood pressure is 168/98 mm Hg, his heart rate is 45 beats/min and bounding, and his respirations are 8 breaths/min and irregular. The patient is wearing a medical alert bracelet that states he has hemophilia. You should:
A. administer oxygen via a nonrebreathing mask, apply oral glucose in between his cheek and gum, and transport.
B. suspect that he has internal bleeding and is in shock, administer high-flow oxygen, and transport at once.
C. administer high-flow oxygen, perform a detailed secondary assessment at the scene, and transport promptly.
D. suspect that he has intracranial bleeding, assist his ventilations, and transport rapidly to an appropriate hospital.
Answer: D. suspect that he has intracranial bleeding, assist his ventilations, and transport rapidly to an appropriate hospital.
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