If a patient suffers a trauma and loses consciousness but are AAOx4 with a GCS of 15 by the time you are evaluating them, they do not necessarily require ALS transport so long as they have no other concerning exam findings and meet all other BLS thresholds. However, please be aware that some TBI patients will have falsely reassuring exams immediately after their injury and so it is important that we still provide routine TBI care for any patient who may have suffered a head injury (IV access, fluids if indicated, O2 goal of 100%).
