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now in any first-aid situation its important to know what the patients level of consciousness is we sometimes abbreviate this to LOC level of consciousness and we can try and work this out by looking at the patients level of response how responsive are they now of course patients may be fully alert and a very good judge of this is when you approach someone and if they look at you and you get good eye contact with them the odds are that they are fully alert in that situation so sometimes this assessment can just take a matter of seconds and then you can go on to think about other issues but other times of course the situation is more complicated so lets think why its so important to see what the patients level of response is as that is giving information about the patients level of consciousness why do we need to know this well one reason is it can give us information as to the cause of the reduced level of consciousness and if were able to identify what has caused the unconscio