Your patient has suddenly developed slurred speech and right-sided weakness. What should you do first?

In the scenario presented, the patient is exhibiting sudden slurred speech and right-sided weakness, which are potential indicators of a stroke or a similar acute neurological event. The priority in such a situation is to ensure the patient is in a safe position to facilitate any immediate interventions and prevent complications, such as aspiration or further injury.

Sitting the patient upright is crucial because it can promote better airway protection and ensure the patient is in a more stable posture. If the patient is at risk of vomiting or has compromised speech, an upright position can help manage any potential airway issues. Additionally, this position may also facilitate easier communication and assessment of the patient's condition.

While calling for help is important and vital signs are key indicators of the patient's status, establishing a safe environment is the immediate concern. Assessing vital signs and preparing for transport are also critical actions that follow, but ensuring that the patient is in a proper position takes precedence in this urgent scenario.