Short Answer 
The process involves three key steps: first, check the patient’s airway, breathing, and circulation (ABCs) for stability; second, notify the physician to discuss interventions for deteriorating Glasgow Coma Scale (GCS) scores; and third, continuously monitor the patient’s condition and position them properly to prevent complications. These actions are vital for effective management of potential life-threatening situations.
Step 1: Reassess ABCs
Immediately check the patient’s airway, breathing, and circulation (ABCs) to ensure they are stable. This is essential as a declining Glasgow Coma Scale (GCS) score indicates possible life-threatening complications. Be prepared to perform interventions such as intubation or provide ventilation assistance if the patient’s breathing is compromised.
Step 2: Notify the Physician and Prepare for Interventions
Urgently contact the physician to report the deteriorating GCS and discuss potential interventions. This may include administering treatments like osmotic diuretics (e.g., mannitol) to alleviate intracranial pressure. Prompt communication ensures timely management of the patient’s condition and prepares the medical team for necessary actions.
Step 3: Continuous Monitoring and Positioning
Continuously monitor the patient’s neurological status, including their GCS, vital signs, and pupil response. Position the patient appropriately to prevent neck flexion, which could hinder venous drainage from the brain. Effective monitoring and proper positioning are crucial in preventing further deterioration and guiding treatment decisions.