What is MOST important to monitor if you suspect a friend or roommate has alcohol poisoning?
Heart rate
Pupil dilation
Muscle tone
Breathing
Heart rate or Breathing?
Breathing would be the most important.
No breathing = no oxygen to tissues. Death follows in about 5 minutes.
The others are important too, but you did ask for the MOST important.
Heart rate or Breathing?
Check the breathing just watching the chest [or back] rise and fall if they are out of it, count resp. while you feel for a pulse -
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