2scents,
The same is for Patients from a one car or multi car MVA. the fact that you believe (and could very be true) that pts from single car MVAs are more likely to have an underlying medical that caused the accident does not change the assessment or treatment at all.
Yes, I understand your point, and the reasoning behind the protocol you are describing. Diabetic shock probably doesn’t matter so much if the person is not getting oxygen due to trauma. I wasn’t intending to comment on the EMS/ER protocols in this thread, just that the notion that a single car crash may have a higher probability of a medical/intoxication cause makes some sense to me. And I don’t have empirical proof either way.