Before ABCDE, what should you establish?

Responsiveness and consent is the key point.

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  1. The patient insurance plan
  2. The nearest campground
  3. Responsiveness and consent ✔

Why: Check responsiveness, introduce yourself, and ask permission before care. An unresponsive patient may be treated under implied consent.

Huh, didn't know that: NOLS says implied consent applies to an unresponsive patient or one with altered mental status.

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I asked my map for permission before folding it. It said it was open to the idea.
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References

Answer: Responsiveness and consent. Check responsiveness, introduce yourself, and ask permission before care. An unresponsive patient may be treated under implied consent.

  1. NOLS, Initial Assessment www.nols.edu/blog/abcs-of-wilderness-medicine-the-initial-assessment
    start by establishing responsiveness and obtain consent to treat
    Checked 2026-10-21.
  2. NOLS, Initial Assessment www.nols.edu/blog/abcs-of-wilderness-medicine-the-initial-assessment
    Permission to treat an unresponsive patient, or a patient with altered mental status, is given through the legal concept of implied consent.
    Checked 2026-10-21.

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