What is the first step in airway management for a patient with altered mental status?

In airway management for a patient with altered mental status, the first step is positioning the patient. Proper positioning is critical because it helps maintain an open airway and reduces the risk of airway obstruction, especially in patients who may be drowsy or unresponsive. Positioning the patient in a way that allows gravity to aid in keeping the airway clear—such as placing them in the recovery position—can prevent airway blockage from the tongue or secretions.

Suctioning, checking vital signs, and administering oxygen are all important components of patient management, but they typically follow the initial step of ensuring that the airway is adequately positioned to facilitate breathing and oxygenation. Without first ensuring the airway is clear through proper positioning, other interventions may not be effective.