What is the first action you should take for a casualty with an altered mental status?

The first action for a casualty with an altered mental status should be to assess the situation comprehensively, recognizing that altered mental status can indicate various forms of distress, including potential threats to the casualty's safety and that of others. Disarming someone with altered mental status may seem practical if there is a risk they might harm themselves or others; however, this approach does not prioritize immediate life-saving interventions.

The proper initial action in such a scenario is often to ensure the casualty can maintain their airway and assess their breathing. Checking vital signs can provide essential information, but without addressing the airway and oxygen supply first, it might be futile. Additionally, calling for evacuation is crucial but should come after ensuring the patient's immediate stability. In cases of altered mental status, ensuring safety and airway management typically takes precedence over assessing the individual's weapon status or calling for help. It’s essential to have a plan that first ensures the casualty is safe, and then get help as necessary.