If you arrive at a critically ill patient and the closest hospital is 25 miles away, what should you do?

Choosing to manage threats to airway, breathing, and circulation while considering an Advanced Life Support (ALS) request is the correct approach in this scenario. This decision is vital because it prioritizes stabilizing the patient's immediate life-threatening conditions, which is critical for critically ill patients. Airway, breathing, and circulation are the foundational aspects of patient care in emergency situations, and addressing any issues in these areas should always be the first step.

In a situation where the hospital is 25 miles away, time is of the essence. By ensuring that airway, breathing, and circulation are secure, you can minimize the risk of further deterioration during transport. Additionally, considering an ALS request is essential if the patient's condition warrants advanced interventions that may be beyond the scope of Basic Life Support (BLS) staff. This ensures that more comprehensive care can be provided either during transport or upon arrival at the hospital.

The other options involve performing treatments or assessments that could delay the transport of the patient. While gathering medical history or performing a detailed secondary assessment can be important, in the case of a critically ill patient, immediate stabilization takes precedence over thorough assessment or treatment strategies that could occur en route. Administering oxygen is beneficial but should also be done within the context of ensuring the