During the primary assessment of a patient in respiratory distress, what should you assess for?

During the primary assessment of a patient in respiratory distress, assessing airway patency is crucial because the airway is the foundational element of effective respiration. If the airway is obstructed or not functioning properly, it can lead to inadequate ventilation, hypoxia, and potentially life-threatening situations. Ensuring that the airway is clear allows for proper airflow and oxygen exchange, which is essential for the patient’s survival and recovery.

In the context of respiratory distress, other assessments, while important in a comprehensive evaluation, do not address the immediate needs of the patient in terms of breathing. For instance, while capillary refill time can provide insight into peripheral perfusion, it does not directly assess respiratory function. Similarly, evaluating neurological status and skin temperature may offer secondary details about the patient's overall condition, but these assessments will not resolve the immediate issue of respiratory distress if the airway is compromised. Therefore, evaluating airway patency should be the priority in this scenario.