What should be done if a patient has a Glasgow Coma Scale of 8 or less?

When a patient presents with a Glasgow Coma Scale (GCS) score of 8 or less, this indicates a state of altered consciousness and significant risk for airway compromise due to potential inability to maintain their own airway. Intubation is a critical step to protect the airway and ensure adequate ventilation, particularly when the GCS is at this level or lower, as these patients may be unable to respond or protect themselves from aspiration.

The rationale for considering intubation in this scenario revolves around the fact that a GCS score of 8 indicates a need for close monitoring and often intervention to manage the airways effectively. It is essential to ensure that the patient can receive adequate oxygenation and prevent respiratory failure, which can occur rapidly.

Other actions, such as administering oxygen or calling for surgical intervention, may be appropriate as well, but they do not directly address the immediate risk to the airway that arises with a low GCS score. Conducting a quick neurological check, while useful in determining the patient's current state, does not provide the necessary intervention to protect the airway. Therefore, intubation is the most critical and appropriate response when dealing with a GCS of 8 or less.