Dispatch has reported there is a man passed out behind a supermarket who is not breathing. You arrive to find a male sitting alone up against a wall. His eyes are closed and he does not respond to your attempts to elicit an answer. He is breathing at 8 irregular breaths per minute with periods of apnea. There is a small plastic baggy with a white substance on the ground next to him. When you give him a sternal rub, he grabs his chest with his hand, but does not make any noise. What is this man’s GCS and what is the best course of action?

a. GCS of 7 / Assist ventilation via BVM

b. GCS of 7 / Restrain the man to the gurney with the likelihood of drug ingestion

c. GCS of 6 / Put him on high flow O2 via NRB and transport

d. GCS of 6 / Insert a nasopharyngeal and prepare to suction