امرأة عمرها ٣٠ سنة في الطوارئ تقول إنها تحس إنها بتموت، نبضها ١٢٨، تتنفس بسرعة، وعندها تنميل في أصابعها. تخطيط القلب طبيعي. ما الإجراء الأنسب أولاً؟

A 30-year-old woman in the ED says she feels she is dying; HR 128, rapid breathing and tingling fingers. ECG is normal. What is the best first action?

1. Explain the causes of panic attacks in detail
2. Leave her alone in the room until calm
3. Teach problem-solving techniques now
4. Stay with her and give brief, calm directions

Answer: D) Stay with her and give brief, calm directions. During severe panic she cannot process information; stay, use short phrases and guide slow breathing, saving teaching for later.